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J Cosmet Med 2022; 6(1): 61-65

Published online June 30, 2022

https://doi.org/10.25056/JCM.2022.6.1.61

The functional and cosmetic aspects of alar batten graft

Tae Ui Hong , MD, Jeonghyun Oh , MD, PhD, Ji Yun Choi , MD, PhD

Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Rep. of Korea

Correspondence to :
Ji Yun Choi
E-mail: happyent@naver.com

Received: May 30, 2022; Revised: June 6, 2022; Accepted: June 7, 2022

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Nasal valve collapse due to lateral nasal wall incompetence hinders the quality of life of patients. It can also cause cosmetic problems, leading patients to seek surgical treatment. Nasal valve collapse is caused by an interruption of the systematic relationships between the septal cartilage, inferior turbinate, and upper and lower lateral cartilage. In particular, when solving problems with the upper and lower later cartilage, the alar batten graft is considered an important surgical method. Herein, we present an example of patients with lateral nasal wall incompetence and the detailed surgical method of the applied alar batten graft to solve this problem. There were no significant adverse effects, and the operator and the patients were satisfied with the functional and cosmetic results.

Keywords: cosmetics, nasal alar collapse, nasal cartilages, surgical procedures, transplants

Fig. 1.Nasal wall findings in patients identified in the clinic. In the case of inhalation (B) compared to the resting state (A), the collapse of the left lateral nasal wall and the resulting internal nasal valve collapse can be confirmed.
  1. Toriumi DM, Josen J, Weinberger M, Tardy ME Jr. Use of alar batten grafts for correction of nasal valve collapse. Arch Oto-laryngol Head Neck Surg 1997;123:802-8.
    Pubmed CrossRef
  2. Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984;73:230-9.
    Pubmed CrossRef
  3. Park SS. The flaring suture to augment the repair of the dys-functional nasal valve. Plast Reconstr Surg 1998;101:1120-2.
    Pubmed CrossRef
  4. Cervelli V, Spallone D, Bottini JD, Silvi E, Gentile P, Curcio B, et al. Alar batten cartilage graft: treatment of internal and ex-ternal nasal valve collapse. Aesthetic Plast Surg 2009;33:625-34.
    Pubmed CrossRef
  5. Millman B. Alar batten grafting for management of the col-lapsed nasal valve. Laryngoscope 2002;112:574-9.
    Pubmed CrossRef
  6. Merlin P, Fanous A, Marie JP, Mardion NB, Benmoussa N. Lower lateral crural turnover flap combined with alar batten graft for the long-term result of the treatment of alar convexi-ties. Arch Clin Cases 2021;6:1-5.
    Pubmed KoreaMed CrossRef
  7. Rohrich RJ, Raniere J Jr, Ha RY. The alar contour graft: cor-rection and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg 2002;109:2495-505; discussion 2506-8.
    CrossRef
  8. Hyman AJ, Khayat S, Toriumi DM. Correction of nasal pinch-ing. Facial Plast Surg Clin North Am 2019;27:477-89.
    Pubmed CrossRef
  9. Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997;99:943-52; discussion 953-5.
    Pubmed CrossRef

Article

How We Do It

J Cosmet Med 2022; 6(1): 61-65

Published online June 30, 2022 https://doi.org/10.25056/JCM.2022.6.1.61

Copyright © Korean Society of Korean Cosmetic Surgery.

The functional and cosmetic aspects of alar batten graft

Tae Ui Hong , MD, Jeonghyun Oh , MD, PhD, Ji Yun Choi , MD, PhD

Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Rep. of Korea

Correspondence to:Ji Yun Choi
E-mail: happyent@naver.com

Received: May 30, 2022; Revised: June 6, 2022; Accepted: June 7, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nasal valve collapse due to lateral nasal wall incompetence hinders the quality of life of patients. It can also cause cosmetic problems, leading patients to seek surgical treatment. Nasal valve collapse is caused by an interruption of the systematic relationships between the septal cartilage, inferior turbinate, and upper and lower lateral cartilage. In particular, when solving problems with the upper and lower later cartilage, the alar batten graft is considered an important surgical method. Herein, we present an example of patients with lateral nasal wall incompetence and the detailed surgical method of the applied alar batten graft to solve this problem. There were no significant adverse effects, and the operator and the patients were satisfied with the functional and cosmetic results.

Keywords: cosmetics, nasal alar collapse, nasal cartilages, surgical procedures, transplants

Fig 1.

Figure 1.Nasal wall findings in patients identified in the clinic. In the case of inhalation (B) compared to the resting state (A), the collapse of the left lateral nasal wall and the resulting internal nasal valve collapse can be confirmed.
Journal of Cosmetic Medicine 2022; 6: 61-65https://doi.org/10.25056/JCM.2022.6.1.61

References

  1. Toriumi DM, Josen J, Weinberger M, Tardy ME Jr. Use of alar batten grafts for correction of nasal valve collapse. Arch Oto-laryngol Head Neck Surg 1997;123:802-8.
    Pubmed CrossRef
  2. Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984;73:230-9.
    Pubmed CrossRef
  3. Park SS. The flaring suture to augment the repair of the dys-functional nasal valve. Plast Reconstr Surg 1998;101:1120-2.
    Pubmed CrossRef
  4. Cervelli V, Spallone D, Bottini JD, Silvi E, Gentile P, Curcio B, et al. Alar batten cartilage graft: treatment of internal and ex-ternal nasal valve collapse. Aesthetic Plast Surg 2009;33:625-34.
    Pubmed CrossRef
  5. Millman B. Alar batten grafting for management of the col-lapsed nasal valve. Laryngoscope 2002;112:574-9.
    Pubmed CrossRef
  6. Merlin P, Fanous A, Marie JP, Mardion NB, Benmoussa N. Lower lateral crural turnover flap combined with alar batten graft for the long-term result of the treatment of alar convexi-ties. Arch Clin Cases 2021;6:1-5.
    Pubmed KoreaMed CrossRef
  7. Rohrich RJ, Raniere J Jr, Ha RY. The alar contour graft: cor-rection and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg 2002;109:2495-505; discussion 2506-8.
    CrossRef
  8. Hyman AJ, Khayat S, Toriumi DM. Correction of nasal pinch-ing. Facial Plast Surg Clin North Am 2019;27:477-89.
    Pubmed CrossRef
  9. Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997;99:943-52; discussion 953-5.
    Pubmed CrossRef

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