Surgical Correction of Retracted Nostril Rim with Auricular Composite Grafts and Anchoring Suspention
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Abstract
Among concerned nasal appearances, a deformity with supero-lateral displacement of the nostril rim, called retracted nostril rim or elevated nostril rim is commonly seen and is considered one of the most difficult types of cases to treat aesthetically. A new surgical method for treating retracted nostril rim was performed in 10 patients, using the combination of auricular composite graft, internal fixation with a retainer, and external continuing suspension with anchoring sutures. The procedure was successful in maintaining the grafted cartilage in the ideal position and in avoiding recurrence of retraction or elevation of the constructed alar rim. The presented method merits consideration as a standard operative approach for correction of retracted nostril rim.
Keywords
Elevated nostril rim Retracted ala Cartilage graft External suspension RetainerReferences
- 1.Gunter, JP, Rohrich, RJ, Friedman, RM 1996Classification and correction of alar-columellar discrepancies in rhinoplasty.Plast Reconstr Surg97643CrossRefPubMedGoogle Scholar
- 2.Meyer, R, Kesselring, UK 1977Sculpturing and reconstructive procedures in aesthetic and functional rhinoplasty.Clin Plast Surg415PubMedGoogle Scholar
- 3.Ellenbogen, R 1987Alar rim lowering.Plast Reconstr Surg7950PubMedGoogle Scholar
- 4.Guyuron, B 2001Alar rim deformities.Plast Reconstr Surg107856CrossRefPubMedGoogle Scholar
- 5.Rohrich, RJ, Raniere, J, Ha, RY 2002The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty.Plast Reconstr Surg1092495CrossRefPubMedGoogle Scholar
- 6.Constantian, MB 2002Indications and use of composite grafts in 100 consecutive secondary and tertiary rhinoplasty patients: introduction of the axial orientation.Plast Reconstr Surg1101116Google Scholar
- 7.Sheen, JH, Sheen, AP 1987Aesthetic Rhinoplasty, 2nd Ed.MosbySt. Louis372382Google Scholar