This Article  • Full text  • PDF  • Correction  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Transplantation, Other  • Cosmetic Surgery/ Procedures  • Nasal Surgery  • Reconstructive Facial Surgery  • Alert me on articles by topic

Brian P. Drisco, MD; Shan R. Baker, MD

Arch Facial Plast Surg. 2001;3:91-99.

Objective  To evaluate aesthetic and functional results of reconstruction of the nasal alar subunit using free cartilage grafts with an interpolated cheek or forehead flap and a vascularized mucosal flap when required.

Setting  University-based facial plastic surgery practice.

Patients  A case series of 50 patients with primary alar defects undergoing nasal alar reconstruction.

Main Outcome Measures  Observer's and patient's rating of the final results, patient's rating of breathing and level of self-consciousness, and medical record review of complications.

Results  Most aesthetic outcomes were excellent to good. Breathing from the reconstructed side can be returned to preoperative status in most of these patients.

Conclusion  Staged reconstruction of the nasal ala using free cartilage grafts, interpolated cheek or forehead and mucosal flaps when necessary, result in a highly aesthetic and functional outcome in most patients.

From the Center for Facial Cosmetic Surgery, University of Michigan Health Center, Ann Arbor.

RELATED ARTICLE

Innovators of Alar Reconstruction
Ritch A. L. Younger
Arch Facial Plast Surg. 2001;3(2):100.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Oblique Advancement Flap for Defects of the Lateral Nasal Supratip
Alam and Goldberg
Arch Dermatol 2003;139:1039-1042.
ABSTRACT | FULL TEXT  

Innovators of Alar Reconstruction
Younger
Arch Facial Plast Surg 2001;3:100-100.
FULL TEXT