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Published in: Aesthetic Plastic Surgery 5/2016

01-10-2016 | Case Report

Dome Reconstruction in a Rare Case of Alar Cartilage Agenesis of the Middle and Lateral Crura

Authors: Gregor M. Bran, Frank Riedel

Published in: Aesthetic Plastic Surgery | Issue 5/2016

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Abstract

Congenital deformities of the nasal cartilage are extremely rare. Often, they remain undiscovered until an open approach is completed during rhinoplasty. We present a case of unilateral congenital agenesis of the middle and lateral crura of the alar cartilage. A new concept for dome reconstruction using conchal cartilage is introduced. Additionally, current concepts of embryology are summarized, which will help understanding the pathophysiology of such rare deformities.

Level of Evidence V

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Literature
1.
go back to reference Lohuis PJFM, Faraj-Hakim S, Knobbe A et al (2012) Split hump technique for reduction of the overprojected nasal dorsum. Arch Facial Plast Surg 14: 346–353CrossRefPubMed Lohuis PJFM, Faraj-Hakim S, Knobbe A et al (2012) Split hump technique for reduction of the overprojected nasal dorsum. Arch Facial Plast Surg 14: 346–353CrossRefPubMed
2.
3.
go back to reference Kridel RW, Konior RJ (1991) Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg 117: 411–415CrossRefPubMed Kridel RW, Konior RJ (1991) Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg 117: 411–415CrossRefPubMed
4.
5.
go back to reference Losee JE, Kirschner RE, Whitaker LA et al (2004) Congenital nasal anomalies: a classification scheme. Plast Reconstr Surg 113: 676–689CrossRefPubMed Losee JE, Kirschner RE, Whitaker LA et al (2004) Congenital nasal anomalies: a classification scheme. Plast Reconstr Surg 113: 676–689CrossRefPubMed
6.
go back to reference Kosins AM, Daniel RK, Sajjadian A, Helms J (2013) Rhinoplasty: congenital deficiencies of alar cartilage. Aesthet Surg J 33: 799–808CrossRefPubMed Kosins AM, Daniel RK, Sajjadian A, Helms J (2013) Rhinoplasty: congenital deficiencies of alar cartilage. Aesthet Surg J 33: 799–808CrossRefPubMed
7.
go back to reference Gitton Y, Benouaiche L, Vincent C, Heude E, Soulika M, Bouhali K, Couly G, Levi G (2011) Dix5 and Dix6 expression in anterior neural fold is essential for patterning the dorsal nasal capsule. Development 138: 897–903CrossRefPubMed Gitton Y, Benouaiche L, Vincent C, Heude E, Soulika M, Bouhali K, Couly G, Levi G (2011) Dix5 and Dix6 expression in anterior neural fold is essential for patterning the dorsal nasal capsule. Development 138: 897–903CrossRefPubMed
8.
go back to reference Adelson RT, Karimi K, Herrero N (2008) Isolated congenital absence of the left lower lateral cartilage. Otolaryngol Head Neck Surg 138: 793–794CrossRefPubMed Adelson RT, Karimi K, Herrero N (2008) Isolated congenital absence of the left lower lateral cartilage. Otolaryngol Head Neck Surg 138: 793–794CrossRefPubMed
9.
go back to reference Riedel F, Bran G (2008) Cartilage grafts in functional and aesthetic rhinoplasty. HNO 56: 185–198CrossRefPubMed Riedel F, Bran G (2008) Cartilage grafts in functional and aesthetic rhinoplasty. HNO 56: 185–198CrossRefPubMed
10.
11.
go back to reference Barutca SA, Orerogly AR, Uscetin I, Kutlu N (2011) Isolated congenital partial absence of the left lower lateral nasal cartilage. Ann Plast Surg 67: 662–664CrossRefPubMed Barutca SA, Orerogly AR, Uscetin I, Kutlu N (2011) Isolated congenital partial absence of the left lower lateral nasal cartilage. Ann Plast Surg 67: 662–664CrossRefPubMed
Metadata
Title
Dome Reconstruction in a Rare Case of Alar Cartilage Agenesis of the Middle and Lateral Crura
Authors
Gregor M. Bran
Frank Riedel
Publication date
01-10-2016
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2016
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-016-0669-y

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