It was reported in journal article title: nasal base modification in asian patients authors: sang-ha oh, md, da-arm kim, md, jae yong jeong, md.Citation: j oral maxillofac surg.2010; 68: 686 690.Doi: 10.1016/j.Joms.2009.04.128.The authors described their experience with narrowing the alar base in cases with a wide nasal base and alar flaring using a procedure that combines alar rim resection and an alar cinching suture.A total of 45 patients (43 women and 2 men) with excessive alar flaring or a wide nasal base underwent nasal modification and were included in the study.Nasal base modification was performed as the final step in a rhinoplasty because any change in the nose will have a direct effect on the nasal base configuration.The resection is closed in 2 layers with pds 5-0 subcutaneous sutures to help evert the skin edges, which are then closed with nylon sutures for the part outside the nostril rim and vicryl 5-0 sutures inside the nostril.Reported complications included recurring deformities (n-6) and worsening of nostril asymmetry (n-3); both required revision surgery, and temporary swelling and discomfort in the premaxillary area (n-6) resulting from an excessive cinching suture and the complications resolved spontaneously.It was reported that the use of cinching suture for wide noses with excessive flaring must be limited because it can lead to bunching of the floor of the nostrils and excessive rounding of the alae.Another important limitation of the cinching suture technique is that it results in symmetric medialization of the alae only, which makes it inapplicable in cases with asymmetric nostrils.It was also reported that excessive cinching tension can cause premaxillary swelling and discomfort while smiling.
|