BACKGROUND Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. METHODS Between August 200...

BACKGROUND Alar cartilage malposition is a common anatomic variation in which the axis of the lateral crus lies cephalically and may be parallel to the cephalic septum. Malposition of the lateral crura may produce inward collapse of the alae that is observable on deep inspiration. OBJECTIVES The authors performed the alar rim flap technique to treat patients with alar malposition and assessed...

Ali Hendi, MD, has indicated no significant interest with commercial supporters. A n 80-year-old woman underwent surgery to treat primary basal cell carcinoma on the right nasal ala. The tumor measured 0.9 Â 0.4 cm and appeared to involve the nasal lining (Figure 1). Tumor-free margins were obtained after the first stage of Mohs micrographic surgery. A 1.3 Â 0.6-cm defect involving 2 mm of the ...

OBJECTIVE To evaluate the role of the combined alar base excision technique in narrowing the nasal base and correcting excessive alar flare. METHODS The study included 60 cases presenting with a wide nasal base and excessive alar flaring. The surgical procedure combined an external alar wedge resection with an internal vestibular floor excision. All cases were followed up for a mean of 32 (ra...

OBJECTIVE To determine the potential indications for placement of cartilaginous alar rim grafts in primary and revision septorhinoplasty. METHODS Retrospective medical chart analysis of all patients undergoing septorhinoplasty from March 2003 through June 2004 in a private facial plastic and reconstructive surgery center and a tertiary teaching hospital. Patients who received alar rim grafts ...

OBJECTIVES To describe various techniques, including alar base reduction, alar flaring reduction, and alar hooding reduction and present a decision-making treatment algorithm and quantifiable guidelines for soft-tissue excision, along with scar outcomes from a single-surgeon practice. The soft tissue of the nasal tip, ala, and nostrils is important in overall nasal tip dynamics. Excisional alar...

Accurate placement of intranasal incisions to achieve external alar symmetry is difficult. A detailed anatomical knowledge of intranasal anatomy is required to allow an appropriate incision to be made within the nasal vestibule. By marking the level of the intracartilaginous incision on the external surface using a pair of alice forceps, the marking is subsequently transferred onto the vestibul...

BACKGROUND In critically ill patients, clinicians can have difficulty obtaining accurate oximetry measurements. OBJECTIVE To compare the accuracy of nasal alar and forehead sensor measurements and incidence of pressure injury. METHODS 43 patients had forehead and nasal alar sensors applied. Arterial samples were obtained at 0, 24, and 120 hours. Oxygen saturations measured by co-oximetry we...

OBJECTIVES To simplify the approach and diagnosis of alar base reduction, suggest a treatment algorithm, and evaluate the long-term outcomes of 3 different techniques used separately or in conjunction with one another. DESIGN Retrospective review of 124 patients seen in a private practice by a single surgeon. Patients ranged in age from 15 to 59 years (mean age, 30.4 years). Patients were und...

OBJECTIVE To statistically analyze the long-term results of alar base reduction after rhinoplasty. METHODS Among a consecutive series of 100 rhinoplasty cases, 19 patients required alar base reduction. The mean (SD) follow-up time was 11 (9) months (range, 2 months to 3 years). Using preoperative and postoperative photographs, comparisons were made of the change in the base width (width of ba...