Alar transposition flap for stenosis of the nostril

Abstract

We present a technique that has successfully corrected severe bilateral nasal stenosis. It comprised an alar transposition flap. After a year's follow up the patient was satisfied with the results. We recommend this technique for selective stenosis of the nostril.

Current treatment of nasal vestibular stenosis with CO2-laser surgery; prolonged vestibular stenting versus intraoperative mitomycin application. A case series of 3 patients

“…The principal step for relief of nasal vestibular stenosis is surgical excision. Various strategies such as different types of grafts and skin flaps are propagated for relief of nasal vestibular stenosis [2,5,[7][8][9][10]. However, the use of CO 2 -laser surgery for relief of nasal vestibular stenosis has never been described before in the literature.…”

“…In the literature, several strategies are advocated such as the use of split-and full-thickness skin grafts, chondrocutaneous grafts and local flaps [2,5,[7][8][9][10]. However, the use of CO 2 -laser surgery for correction of nasal vestibular stenosis has not been described before.…”

“…In adult patients are also cases of nasal vestibular stenosis reported due to endoscopic sinus surgery, inferior turbinate cauterization, nasal tubes (e.g. nasogastric), rhinoplasty, skin resurfacing and prolonged nasal packing [1][2][3][4][5][6][7][8][9]. Long term nasal vestibular stenosis leads to histological changes of the nasal mucosa and vestibular skin such as loss of cellular integrity and cilia necessary for humidification, warming and filtering of inspired air [1].…”

Repair of Nostril Stenosis Using a Triple Flap Combination: Boomerang, Nasolabial, and Vestibular Rotation Flaps

“…The basic surgical repair methods applied to nostril stenoses in the literature are the W-plasty or Z-plasty, full-or partial-thickness skin grafts, composite chondrocutaneous grafts, or nasolabial flaps obtained from the ear or locally from the perialar region (Stallings and Sessions, 1971; Blandini et al, 1995; Constantian, 1998; Daya, 2009). The mucous membrane graft-flaps (Tipton, 1970; Copcu, 2005); intranasal local flaps, para-alar crescentic subcutaneous pedicled flaps (Suzuki, 1989; Yamawaki, 2006); double cross plasty (Naasan and Page, 1992); upper lip flap (Mavili and Akyürek, 1999); alar transposition flap (Aydogdu et al, 2006); and galea-including forehead flap (Bruschi et al, 2009) are among the other nasal stenosis repair methods. Nasolabial flap application is known to be a useful method in nostril stenosis, and it is one of the first methods of choice.…”

Cleft-Rhinoplasty constricted nasal floor reconstruction

“…The developmental defects include congenital syphilis, cleft lip and palate. [ 2 3 4 5 6 7 ] In the latter condition, postrhinoplasty, there is a restricted alar base being created by the stress created by the surgical repositioning of the orbicularis oris and the circumoral musculature. [ 2 ]…”