title: Reconstruction of the retracted nasal alar margin.
abstract: Disruption of the integrity of nasal alar subunit as a result of previous ablative surgery or trauma may cause severe retraction or notching. This article presents a technique of successful reconstruction of the severely retracted alar margin due to prior ablative surgery or trauma by utilizing a turn-in flap brought from the nasal skin adjacent to the alar defect for inner lining, an auricular cartilage graft for alar margin support and a two-stage nasolabial flap for skin coverage.
authors.affiliation: Department of Surgery, John McClellan VA Hospital, and the Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. vuralemrea@uams.edu
authors.forename: Emre
authors.initials: E
authors.lastname: Vural
mesh_terms: D004425:Ear Cartilage / Q000637:transplantation; D006801:Humans; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps