Injection of synthetic fillers for soft tissue augmentation is increasing over the last decade. One of the most common materials used is hyaluronic acid (HA) that is safe and temporary filler for soft tissue augmentation. We present a case of 54-year-old female who experienced vascular occlusion and nasal alar necrosis following HA injection to the nasolabial folds. She suffered from pain, necr...

i ntroduction: due to the increase in le fort surgeries and its effect on nose widening, it seems necessary to use an alternative method without this effect. the present research examined the effect of alar release on interalar changes in le fort i osteotomy. m at erials and methods: the study population included patients admitted to bou-ali hospital in 2012-2013 undergoing le fort i osteotomy....

It is generally believed that the spinal cord and hindbrain consist of a motor basal plate and a sensory alar plate. We now have molecular markers for these territories. The relationship of migrating branchiomotor neurons to molecularly defined alar and basal domains was examined in the chicken embryo by mapping the expression of cadherin-7 and cadherin-6B, in comparison to genetic markers for ...

A 65-year-old woman with a deeply infiltrating basal cell carcinoma in the right ala underwent full-thickness excision of most of the ala, including the alar rim, crease, and the adjacent cheek, leaving a 'through-and-through' defect. Reconstruction was performed by using the reverse nasolabial flap and a cartilage graft across the alar defect, harvested from the concha, to prevent nostril coll...

OBJECTIVE To determine whether differences of angles between the alar rim and the long axis of the secondary defect in a Zitelli bilobed flap affect alar displacement in a fresh cadaver model. METHODS In fresh cadaver heads, identical, unilateral 1-cm circular defects were created at the superior alar margin. Three different laterally based bilobed flap templates for reconstruction were used....

OBJECTIVE Reconstruction of alar structures of the nose remains difficult. The result has to be not only functional but also aesthetic. Different solutions to reconstruct alar defects are feasible. A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved. METHOD A perichondrial cutaneous graft (PCCG), ...

Cephalic malposition of lower lateral cartilage (CMLLC) is one of the most common objects of aesthetic and functional rhinoplasty. Constantian wrote in his article that 68% of his primary rhinoplasty cases had lateral crural malpositioning.1 To diagnose CMLLC the surgeon has to observe several parameters that were described by Sheen: malposition is “any displacement of the lateral crura from th...

Nasogastric intubation has become a frequently used method for alleviating gastrointestinal symptoms. Necrosis from alar pressure during prolonged nasogastric and nasotracheal intubation is common, and can result in considerable deformity if it is unrecognized. The reconstruction of full-thickness alar wounds often requires multiple challenging surgical procedures. Difficult full-thickness alar...

We divided healthy newborns (aged between 2 weeks and 6 months) into four groups, less than 2 weeks old, 60 +/- 7 days, 120 +/- 7 days, and 180 +/- 7 days, between June 2001 and February 2002, and each group had 40 infants. The lineal distances included 13 items related to the nose, mouth, and lips. The average width of the columella at the midpoint was 3.2, 3.5, 3.7, and 3.8 mm for the 2-week-...