J Cosmet Med.  2021 Dec;5(2):86-89. 10.25056/JCM.2021.5.2.86.

A case of alar stenosis: single-staged alar reconstruction

• Cho JW
• Kim HJ
• Jeong DY
• AlQuniabut I
• Choi JY

• KMID: 2561120
• DOI: http://doi.org/10.25056/JCM.2021.5.2.86

Abstract

The ala is a cosmetically and functionally critical part of the nose, with unique esthetic and anatomical characteristics. Herein, we report our experience of alar reconstruction. A 56-year-old female was diagnosed with intranasal mucosal melanoma and was treated by surgical excision and radiotherapy. She developed left nostril deformity after the completion of oncological treatment. She underwent single-staged alar reconstruction surgery using alar rotational and turning-in flaps with septal and conchal cartilage reconstruction of the ala and lower lateral cartilage. A defect of the ala as a result of cancer excision or trauma is a challenging entity in facial reconstruction. In addition, radiotherapy is a burden for major reconstructive flaps because of defective healing. Hence, singlestaged local flaps with septal and conchal cartilage reconstruction results in good outcome and fewer complications.

Keyword

external nasal valve; nasal reconstruction; nostril; nostril reconstruction; rhinoplasty; stenosis of nostril