title: [Correction of severe alar retraction with alar rotation flap].
abstract: OBJECTIVE
  To investigate the therapeutic effect of alar rotation flap for severe alar retraction.
  
  
  METHODS
  Patients with severely retracted alar underwent ala reconstruction using alar rotation flaps and autogenous cartilage batten grafts. First, costal cartilage was used to reshape the nasal tip and nasal dorsum. Then cartilage patch was used to extend and thicken the retracted alar. Then the alar rotation flap was transferred to correct retracted alar.
  
  
  RESULTS
  Fourteen patients with severe alar retraction underwent alar reconstruction with alar rotation flap and alar batten grafts. The alar retraction was corrected in all cases, with improvements functionally and aesthetically. No recurrence of alar retraction was noted. The incision healed with acceptable cosmetic results, with obvious scar in only one patient (one side).
  
  
  CONCLUSIONS
  The alar rotation flap is an effective and reliable surgical option to correct severe alar retraction. Scar can be kept inconspicuous by precise placement of the incision within the junction of the ala and the nasal dorsum, following principles of the aesthetic nasal subunits.
authors.forename: Chun
authors.initials: C
authors.lastname: Hong
authors.forename: Dongxue
authors.initials: D
authors.lastname: Zheng
authors.forename: Lixin
authors.initials: L
authors.lastname: Lu
mesh_terms: D002356:Cartilage / Q000637:transplantation*; D002921:Cicatrix / Q000517:prevention & control; D066186:Costal Cartilage / Q000637:transplantation; D004954:Esthetics; D006801:Humans; D009667:Nose Deformities, Acquired / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012399:Rotation; D013524:Surgical Flaps