Advertisement

Anthropometric Overview of Lower Alar Cartilage: An Indian Perspective

  • Ashwath Kasliwal
  • Basavaraj Belaldavar
Original Article
  • 4 Downloads

Abstract

The anatomy of the lower lateral cartilage varies according to the ethnicity of the patient. Considering that the manipulation of the lower lateral cartilage has become more prevalent in Indian rhinoplasties, understanding the comprehensive anatomy is of utmost importance. The aim of this descriptive study was to evaluate the anthropometric and morphological variations of the lower lateral cartilage in Indian noses and to compare this data from studies of various ethnic groups. Seventy lower lateral cartilages of thirty-five patients of Indian origin who underwent primary open rhinoplasty were dissected and assessed intraoperatively. There was no previous history of nasal trauma. The medial, middle and lateral distances from the caudal border of the alar cartilage to the alar rim were measured. Morphology of the cartilage was assessed. The results were analysed and comparison were made between the genders and various ethnic groups. A statistically significant difference (p < 0.05) was observed in terms of length, width, distance from the alar rim, compared to the other study. Convex type (56%) of lateral crura was most commonly seen, with no significant gender difference. This study highlights the anatomical differences among various ethnic groups and stresses the need to be aware of the complexities of the anatomical aspect of the cartilage, to avoid complications and provide acceptable aesthetic result to the patient.

Keywords

Lower lateral cartilage Lateral crus Indian rhinoplasty Primary open rhinoplasty 

Notes

Compliance with Ethical Standards

Conflict of interest

No Conflict of Interest.

Ethical Clearance

Obtained from the Institution's Ethical Clearance Comittee.

References

  1. 1.
    Sood V (ed) (2002) History of rhinoplasty. In: Corrective rhinoplasty, 2nd edn. CBS Publisher and distributors, pp 1–8Google Scholar
  2. 2.
    Huizing EH, Chairman F, De Groot JAM, Assistant F (eds) (2015) Functional reconstructive nasal surgery. In: Surgical anatomy, 2nd edn. Thieme, pp 2–28Google Scholar
  3. 3.
    Oneal RM, Beil RJ (2013) Surgical anatomy of the nose. In: M Shiffman, A Giuseppe (eds) Advanced aesthetic rhinoplasty: art, science, and new clinical techniques, Springer, pp 33–60Google Scholar
  4. 4.
    Jang YJ (2013) Asian rhinoplasty. In: M Shiffman, A Giuseppe (eds) Advanced aesthetic rhinoplasty: art, science, and new clinical techniques, Springer, pp 163–173Google Scholar
  5. 5.
    Bhat U, Patel B (2008) Primary rhinoplasty: an Indian perspective. Indian J Plast Surg 41:S9–S19PubMedPubMedCentralGoogle Scholar
  6. 6.
    Rohrich RJ, Adams WP (2001) The boxy nasal tip: classification and management based on alar cartilage suturing techniques. Plast Reconstr Surg 107(7):1849–1863–1868CrossRefPubMedGoogle Scholar
  7. 7.
    Zelnik J, Gingrass RP (1979) Anatomy of the alar cartilage. Plast Reconstr Surg 64:650–653CrossRefPubMedGoogle Scholar
  8. 8.
    Dhong E-S, Han S-K, Lee C-H, Yoon E-S, Kim W-K (2002) Anthropometric study of alar cartilage in Asians. Ann Plast Surg 48(4):386–391CrossRefPubMedGoogle Scholar
  9. 9.
    Farahvash MR, Ebrahimi A, Farahvash B, Farahvash Y (2012) Anatomic and anthropometric analysis of 72 lower lateral nasal cartilages from fresh Persian (Iranian) cadavers. Aesthet Surg J 32(4):447–453CrossRefPubMedGoogle Scholar
  10. 10.
    Ofodile FA, James EA (1997) Anatomy of alar cartilages in blacks. Plast Reconstr Surg 100(3):699–703CrossRefPubMedGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of ENT and HNSJawaharlal Nehru Medical CollegeBelagaviIndia

Personalised recommendations