Lashin, R., El Shahat, A. (2019). The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 133-141. doi: 10.21608/ejprs.2019.65172
Riham Lashin; Ahmed El Shahat. "The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 133-141. doi: 10.21608/ejprs.2019.65172
Lashin, R., El Shahat, A. (2019). 'The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 133-141. doi: 10.21608/ejprs.2019.65172
Lashin, R., El Shahat, A. The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 133-141. doi: 10.21608/ejprs.2019.65172
The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Middle Eastern noses are characterized by thick sebaceous skin and week alar cartilage, which may leads to poorly defined nasal tip, depressed tip, poorly defined ala, ill-defined supra-alar crease, and external nasal valve collapse. Aim of Work: Is to investigate the lateral crural turnover flap technique as a method to enhance the supra-alar crease in those patients, by strengthening the lateral crura of the week lower lateral cartilage. Material and Methods: The study included 20 Middle Eastern patients, 14 females and 6 males, Age ranging from 25-45 years, all patients underwent lateral crural turnover flaps while doing their open rhinoplasties. We used this flap < br />in our study to strengthen the lateral crura of the week lower lateral cartilage in Middle Eastern noses, and at the same time to gain the advantage of having the same effect of doing cephalic trim in these noses, but without excising the cartilage. This turnover flap results in tip definition, tip elevation, and it gives a well-defined supra-alar crease which results in a more alar definition and leads to a more narrowing of the caudal part of the nose. Results: All of the study patients were satisfied with the aesthetic appearance of their noses postoperative. Conclusion: The turnover alar cartilage flap improves the esthetic appearance of the nasal tip by enhancing the the alar and supra-alar crease definition of Middle Eastern noses.
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