Auricular Composite Chondrocutaneous Grafts in the Repair of Nasal Alar Rim Defects

Kim, Geon; Jeong, Young-In; Shim, Hyun-Chul; Choi, Jeon Ha; Jue, Mihn‐Sook; Kim, Eun-Jung; Joh, Ok-Ja; Park, Hyang Joon

doi:10.5021/ad.2014.26.3.407

Cited by 4 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…About two-third of alar reconstruction procedures require a framework with ear, septal, or rib cartilage to sustain contour and provide a patent airway 1 . Among the alar rim defect repair procedures, grafts are commonly used in cases of resection-induced destruction of the alar rim, or when the defect is very close to the intact rim 1 2 4 . Although the alar lobule has no natural cartilage, it behaves like a cartilaginous subunit because of the coarse fat layer and the interdigitation of the muscular components with the external skin 2 .…”

Section: Discussionmentioning

confidence: 99%

A Novel Approach for Full-Thickness Defect of the Nasal Alar Rim: Primary Closure of the Defect and Reduction of the Contralateral Normal Ala for Symmetry

Choe

Kim

2015

Ann Dermatol

View full text Add to dashboard Cite

In full-thickness defects of the nasal alar rim, to achieve projection and maintain airway patency, cartilage graft is frequently needed. However, cartilage graft presents a challenge in considerations such as appropriate donor site, skeletal shape and size, and healing of the donor area. To avoid these demerits, we tried primary closure of alar rim defects by also making the contralateral normal ala smaller. We treated two patients who had a full-thickness nasal alar defect after tumor excision. Cartilage graft was considered for the reconstruction. However, their alar rims were overly curved and their nostril openings were large. To utilize their nasal shape, we did primary closure of the defect rather than cartilage graft, and then downsized the contralateral nasal ala by means of wedge resection to make the alae symmetric. Both patients were satisfied with their aesthetic results, which showed a smaller nostril and nearly straight alar rims. Moreover, functionally, there was no discomfort during breathing in both patients. We propose our idea as one of the reconstruction options for nasal alar defects. It is a simple and easy-to-perform procedure, in addition to enhancing the nasal contour. This method would be useful for patients with a large nostril and an overly curved alar rim.

show abstract

Section: Discussionmentioning

confidence: 99%

A Novel Approach for Full-Thickness Defect of the Nasal Alar Rim: Primary Closure of the Defect and Reduction of the Contralateral Normal Ala for Symmetry

Choe

Kim

2015

Ann Dermatol

View full text Add to dashboard Cite

show abstract

Principles of Skin Surgery

Hussain,

Miller,

Wang

2024

Rook's Textbook of Dermatology

View full text Add to dashboard Cite

The acquisition of dermatological surgery skills is an integral component of dermatological training. Indeed, the increasing burden of skin cancer has resulted in competence in dermatological surgery being a mandatory requirement for all dermatologists. This chapter provides an overview of the fundamental basics of skin surgery and provides an introduction to more advanced surgical techniques, including Mohs micrographic surgery. This chapter is complemented by high‐quality videos of the surgical techniques discussed and may be accessed via the online version of the textbook.

show abstract