eMedicine Specialties > Plastic Surgery > Nose

Rhinoplasty, Alar Cartilage Resection: Workup

Author: Carl H Manstein, MD, Private Practice, Manstein Plastic Surgical Association
Contributor Information and Disclosures

Updated: May 1, 2008

Workup

Laboratory Studies

  • No laboratory studies are necessary.

Imaging Studies

  • Take complete facial photographs of rhinoplasty patients preoperatively and postoperatively. Include front, profile, oblique, and "worm's eye" views. Many surgeons like to bring these photographs into the operating room as a reference guide.
  • Computer imaging is a new technology that is probably of more value as a marketing tool than as a serious learning device for the surgeon. Making hypothetical changes to the nose using the computer usually remains just hypothetical.

Other Tests

  • Other than routine pre-anesthetic evaluation, no tests are necessary.

Diagnostic Procedures

  • Most surgeons do not bother with nasal endoscopy when concentrating on the alar cartilages. A good direct visual examination with a nasal speculum and headlight usually is sufficient to determine most intranasal abnormalities.

More on Rhinoplasty, Alar Cartilage Resection

Overview: Rhinoplasty, Alar Cartilage Resection
Workup: Rhinoplasty, Alar Cartilage Resection
Treatment: Rhinoplasty, Alar Cartilage Resection
Follow-up: Rhinoplasty, Alar Cartilage Resection
References
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References

  1. Sheen JH. Middle Crus: The Missing Link in Alar Cartilage Anatomy. Perspectives in Plastic Surgery. 1991;5:31-53.

  2. Tebbetts JB. Primary Rhinoplasty. In: A New Approach to the Logic and the Techniques. Mosby; 1998.

  3. Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. Mar 1998;101(3):840-51. [Medline].

  4. Rudolph Meyer, M.D., Ulrich K. Kesselring, M.D. Sculpturing and Reconstructive Procedures in Aesthetic and Functional Rhinoplasty. Clinics in Plastic Surgery. 1977;4:15-22.

  5. Yavuzer R, Jackson IT. Nasal packing in rhinoplasty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg. Mar 1999;103(3):1081-2. [Medline].

  6. Tardy ME Jr, Cheng EY, Jernstrom V. Misadventures in nasal tip surgery. Analysis and repair. Otolaryngol Clin North Am. Nov 1987;20(4):797-823. [Medline].

  7. Hatzis GP, Sherry SD, Hogan GM, Finn RA. Observations of the marginal incision and lateral crura alar cartilage asymmetry in rhinoplasty: a fixed cadaver study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Apr 2004;97(4):432-7. [Medline].

  8. Johnson CM, Toriumi DM. Open Structure Rhinoplasty. W B Saunders Co; 1990.

  9. Suzuki S, Muneuchi G, Kawai K, Naitoh M. Correction of atrophic nasal ala by sandwiching an auricular cartilage graft between para-alar and nasal floor retrogressive flaps. Ann Plast Surg. Nov 2003;51(5):513-6. [Medline].

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Further Reading

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Keywords

Rhinoplasty, alar cartilage resection, cartilage resection, nasal cartilage resection, lateral nasal cartilage, cleft-lip rhinoplasty, open rhinoplasty, closed rhinoplasty, open technique, closed technique, columellar incision, alar cartilage, alar resection, dorsal hump, nasal surgery, nose job, lower alar cartilage, twisted alar cartilage, tip-dorsum relationship, Tebbetts, nasal deformity, septal cartilage graft, small wedge resection, medial crura, lateral crura, middle crus, columellar-lobular junction, lateral crus, ala, interdomal ligament, anterior septal angle complex, soft triangle, internal approach, external approach, alar wedge resection, intranasal incision, columellar external incision, cartilage splitting incision, cartilage delivery approach, cartilage splitting, cartilage delivery

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Contributor Information and Disclosures

Author

Carl H Manstein, MD, Private Practice, Manstein Plastic Surgical Association
Carl H Manstein, MD is a member of the following medical societies: American Society of Plastic Surgeons, Pennsylvania Medical Society, and Sigma Xi
Disclosure: Nothing to disclose.

Medical Editor

Frederick Menick, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona
Frederick Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, and American Society of Plastic Surgeons
Disclosure: none None None

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

George Peck, Jr, MD, Consulting Staff, Department of Plastic Surgery, St Barnabas Hospital of New Jersey
George Peck, Jr, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS, Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center
Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

 
 
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