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Rotation of the alar cartilage in collapsed ala

G Rettinger, H Masing

    Rhinology
    |June 1, 1981
    PubMed
    Summary

    A surgical technique rotating the alar cartilage improved collapsed alar nasi in elderly patients. This dorsal rotation expanded the nasal vestibulum and raised the nose tip, yielding good functional and aesthetic results.

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    Area of Science:

    • Rhinology
    • Plastic Surgery
    • Otorhinolaryngology

    Background:

    • Collapsed ala nasi is a common condition, particularly in elderly individuals.
    • Deformity of the lateral crus of the alar cartilage often contributes to nasal collapse.
    • Existing treatments may not fully address the underlying structural issues.

    Purpose of the Study:

    • To evaluate the efficacy of a novel surgical technique for correcting collapsed ala nasi.
    • To assess the functional and aesthetic outcomes of dorsal rotation of the lateral crus of the alar cartilage.

    Main Methods:

    • Model experiments were conducted to determine optimal rotation of the lateral crus.
    • The technique involved rotating the lateral crus of the alar cartilage dorsally in 19 patients.
    • Long-term follow-up was used to assess patient outcomes.

    Main Results:

    • Dorsal rotation of the lateral crus expanded the nasal vestibulum.
    • The procedure resulted in a raised nasal tip.
    • Satisfactory functional and aesthetic outcomes were achieved in the majority of patients.

    Conclusions:

    • Dorsal rotation of the lateral crus of the alar cartilage is an effective surgical treatment for collapsed ala nasi.
    • This technique offers significant functional and aesthetic improvements.
    • The procedure is a viable option for elderly patients with nasal collapse due to alar cartilage deformity.

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