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KMID : 1160320210050020086
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Journal of Cosmetic Medicine
2021 Volume.5 No. 2 p.86 ~ p.89
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A case of alar stenosis: single-staged alar reconstruction
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Cho Ji-Woong
Kim Hye-Jeen
Jeong Do-Yoon
Al Quniabut Ibrahim
Choi Ji-Yun
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Abstract
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The ala is a cosmetically and functionally critical part of the nose, with unique esthetic and anatomical characteristics. Herein, we report our experience of alar reconstruction. A 56-year-old female was diagnosed with intranasal mucosal melanoma and was treated by surgical excision and radiotherapy. She developed left nostril deformity after the completion of oncological treatment. She underwent single-staged alar reconstruction surgery using alar rotational and turning-in flaps with septal and conchal cartilage reconstruction of the ala and lower lateral cartilage. A defect of the ala as a result of cancer excision or trauma is a challenging entity in facial reconstruction. In addition, radiotherapy is a burden for major reconstructive flaps because of defective healing. Hence, singlestaged local flaps with septal and conchal cartilage reconstruction results in good outcome and fewer complications.
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KEYWORD
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external nasal valve, nasal reconstruction, nostril, nostril reconstruction, rhinoplasty, stenosis of nostril
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