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Otolaryngol Head Neck Surg. 2014 Apr;150(4):703-6. doi: 10.1177/0194599813520296. Epub 2014 Jan 31.

Z-plasty of the alar subunit to correct nasal vestibular stenosis.

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1
Charing Cross Hospital, Imperial College, London, UK.

Abstract

Nasal vestibular stenosis can result in a challenging cosmetic deformity, for which a variety of techniques have been described, including scar excision and replacement with local flaps, composite or cartilage grafts, with or without stents. We describe the Z-plasty technique to widen the alar base and assess patient satisfaction from the surgery. A retrospective review of patients who underwent Z-plasty to the alar subunit for nasal vestibular stenosis over a 4-year period was conducted. Demographic data and patient satisfaction were evaluated using pre- and postoperative visual analog scores and Rhinoplasty Outcome Evaluation questionnaires. Eight patients underwent the procedure, and all confirmed significant improvement in their esthetic outcome. We describe our Z-plasty technique to the alar base and review patient satisfaction.

KEYWORDS:

Z-plasty; alar subunit; nasal vestibule stenosis

PMID:
24486782
DOI:
10.1177/0194599813520296
[Indexed for MEDLINE]
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