Reconstruction of Alar Defects - 11/08/11

Doi : 10.1016/j.fsc.2010.10.009

Jason D. Bloom, MD ^a,^⁎ , Evan R. Ransom, MD ^b, Christopher J. Miller, MD ^c
^a Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University Medical Center, 550 First Avenue, NBV Suite 5E5, New York, NY 10016, USA
^b Department of Otorhinolaryngology: Head & Neck Surgery, University of Pennsylvania Health System, 3400 Spruce Street, 5 Silverstein, Philadelphia, PA 19104, USA
^c Division of Dermatologic Surgery, Department of Dermatology, Perelman Center for Advanced Medicine, University of Pennsylvania Health System, 3400 Civic Center Boulevard, Suite 1-330S, Philadelphia, PA 19104, USA

Corresponding author.

Résumé

With its complex symmetric contours and central facial location, the nose plays a key role in characterizing the face. Among the cosmetic subunits of the nose, the delicate nasal ala has a particularly marked influence on breathing and cosmetic appearance. Therefore, reconstruction of defects of the nasal ala requires careful attention to preserve and restore function and cosmesis. Reconstructive surgeons have a wide variety of options and techniques to repair specific defects of the nasal ala. Attention to detail, knowledge of the nasal anatomy, and precise surgical techniques allows for the optimum results with the lowest risk of complications.

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Keywords : Nasal reconstruction, Nasal ala, Flap reconstruction