Z-plasty of the alar subunit to correct nasal vestibular stenosis.
Nasal vestibular stenosis can result in a challenging cosmetic deformity, for which a variety of techniques have been described, including scar excision and replacement with local flaps, composite or cartilage grafts, with or without stents. We describe the Z-plasty technique to widen the alar base and assess patient satisfaction from the surgery. A retrospective review of patients who underwent Z-plasty to the alar subunit for nasal vestibular stenosis over a 4-year period was conducted. Demographic data and patient satisfaction were evaluated using pre- and postoperative visual analog scores and Rhinoplasty Outcome Evaluation questionnaires. Eight patients underwent the procedure, and all confirmed significant improvement in their esthetic outcome. We describe our Z-plasty technique to the alar base and review patient satisfaction.
Charing Cross Hospital, Imperial College, London, UK.
Natasha
N
Choudhury
Ahmad
A
Hariri
Hesham
H
Saleh
D000328:Adult; D015331:Cohort Studies; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000503:physiopathology / Q000601:surgery*; D015508:Nasal Obstruction / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D055815:Young Adult
Z-plasty; alar subunit; nasal vestibule stenosis