Rhinoplasty in adult patients with isolated ala nasi cleft.

Abstract

Isolated ala nasi cleft is a very rare anomaly that causes significant esthetic deformity. This anomaly is usually managed in pediatric patients, and the residual deformity is corrected as much as possible in additional stages. Adult patients typically seek management of concomitant nasal deformities that require standard septorhinoplasty. In this article, we have reported four adult patients with isolated ala nasi cleft. They were treated with a novel technique for the management of alar deformity and simultaneous nasal dysmorphia. Patients treated had uneventful primary healing with no significant complaints regarding the shape of the nose and the scar. Providing an esthetic and anatomic reconstruction with this technique seems to be a useful option for reconstruction of the isolated ala nasi cleft.