Unilateral congenital aplasia of the alar cartilage

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Jaime Osorio M.
Alfredo Urrutia F.
Angélica Suazo D.
Daniel Cantero C.

Keywords

Alar cartilage, aplasia, congenital nasal disorders, facial plastic and reconstructive surgery, rhinoseptoplasty

Abstract

The objective of this work is discussing the presentation and management of unilateral con­genital aplasia of the alar cartilage. In this report, we present the case of a patient under- going primary open rhinoseptoplasty presenting congenital aplasia of the left alar cartilage that is repaired with septal cartilage. Case management is discussed, and the literature is reviewed. Congenital nasal abnormalities are rare. The isolated absence of any specific nasal structure is even more rare. Preoperative diagnosis in a Hispanic nose is difficult, but when this deformed congenital is found, it can be repaired with septal cartilage or other types of cartilage, depending on the availability of the graft, with good results. An open approach is recommended for this type of pathology. Unilateral alar cartilage aplasia could be success- fully reconstructed using septal cartilage through and open approach.

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