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Ann Maxillofac Surg. 2012 Jan;2(1):60-2. doi: 10.4103/2231-0746.95323.

Isolated cleft of alar rim.

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  • 1Department of Oral and Maxillofacial Surgery, Vinayaka Mission's Sankarachariar Dental College, Salem, Tamil Nadu, India.


Alar rim defects are most commonly acquired as a result of trauma, burns, tumor excision or sometimes accompanying craniofacial clefts. However, isolated congenital alar defects are extremely rare occurring in about 1 in 20,000 to 40,000 live births. We are presenting a case report of an isolated congenital cleft of the alar rim. The defect was closed by the use of a rotation advancement full-thickness flap. With this technique, both symmetry and desired thickness of the nostrils were achieved. The skin color and texture of the alar rim were good with minimal scars.


Advancement rotation flap; alar cleft; congenital; nasal deformities

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