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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Correction of the Nasal Ala
Garrett D Locketz1, Alexa Franco1, Philip J Miller1
1Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, New York.
Alar retraction, often post-surgical, affects nasal aesthetics and function. This study presents the auricular chondrocutaneous composite graft as a reliable technique for correcting alar retraction in rhinoplasty.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Nasal Anatomy
Background:
- The alar-columellar relationship is crucial for nasal tip aesthetics and symmetry.
- Alar retraction distorts the nasal tip, nostril shape, and can impair nasal valve function.
- Post-surgical causes are the most common etiology of alar retraction.
Purpose of the Study:
- To present a novel technique for correcting alar retraction.
- To evaluate the efficacy of the auricular chondrocutaneous composite graft in rhinoplasty.
Main Methods:
- Utilized the auricular chondrocutaneous composite graft for alar retraction correction.
- Applied the technique in both open and endonasal rhinoplasty approaches.
- Focused on adding necessary soft tissue to the nasal vestibule.
Main Results:
- The auricular chondrocutaneous composite graft proved to be a simple and effective method.
- Successfully corrected moderate to severe cases of alar retraction.
- The technique addressed the need for vestibular soft tissue to lower the alar margin.
Conclusions:
- The auricular chondrocutaneous composite graft is a reliable and effective solution for alar retraction.
- This technique offers a valuable option for rhinoplasty surgeons.
- It provides a method to restore both aesthetic and functional aspects of the nasal tip.
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