The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses

Lashin, Riham; El Shahat, Ahmed

doi:10.21608/ejprs.2019.65172

The Role of Lateral Crural Turnover Flaps in Enhancing the Supra-alar Crease in Middle Eastern Noses

Document Type : Original Article

Authors

The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University

10.21608/ejprs.2019.65172

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.

Keywords

Main Subjects

Aesthetics

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