Reconstructing the nose, especially the alar-facial groove, is difficult because of its 3-dimensional structural characteristics. We report the case of a 33-year-old man with a history of crush injury to the nose 15 years previously. We performed reconstruction because of scar contracture formation in the left alar-facial groove (Fig. 1). This study was reviewed and approved by the Ethics Revie...

OBJECTIVES To describe an alar cartilage-modifying technique aimed at decreasing nasal tip projection in cases with overdeveloped alar cartilages and to compare it with other deprojection techniques used to correct such deformity. DESIGN Selected case series. SETTINGS University and private practice settings in Alexandria, Egypt. PATIENTS Twenty patients presenting for rhinoplasty who had...

OBJECTIVE To review a series of alar reconstruction cases in which the melolabial flap was used. DESIGN Case series. SETTING University medical center and private practice. PATIENTS One hundred five consecutive patients with alar defects, resulting from oncologic resection, in whom melolabial flap reconstruction was suitable. INTERVENTION Single-stage melolabial flap reconstruction by a...

Oligodendrocytes are the myelin-forming cells in the central nervous system. In the brain, oligodendrocyte precursors arise in multiple restricted foci, distributed along the caudorostral axis of the ventricular neuroepithelium. In chick embryonic hind-, mid- and caudal forebrain, oligodendrocytes have a basoventral origin, while in the rostral fore-brain oligodendrocytes emerge from alar terri...

OBJECTIVE To investigate the effects on overall flap dynamics of altering the length of the primary flap in the Zitelli bilobed flap procedure, because the standard Zitelli design can result in distortion of the alar margin after repair of cutaneous nasal alar defects. METHODS Identical 1.5-cm circular cutaneous defects were made on the nasal alae and cheeks of 6 fresh human cadavers. A recta...

Diameters of anterior and posterior atlantodental intervals (AADI and PADI) are diagnostically conclusive regarding ongoing neurological disorders in rheumatoid arthritis. MRI and X-ray are mostly used for patients' follow-up. This investigation aimed at analyzing these intervals during motion of cervical spine, when transverse and alar ligaments are damaged. AADI and PADI of 10 native, human c...

It is difficult to reconstruct an alar defect with cartilage involvement. Here in the authors report a case of traumatic alar loss during childhood in which an alar reconstruction was carried out with a composite auricular graft put over the pedicle buccal flap which was rotated and passed through the intraoral side. The lining skin and auricular cartilage for the flap was obtained from the aur...

Calcification of the alar ligament is rare. It usually develops as a result of traumatic injury and is especially prominent in the elderly. CT scanning is the gold standard of the diagnosis. We report a case of a calcification of the transverse and alar ligament in a patient with rheumatoid arthritis.