Reconstruction of an Isolated Unilateral Aplasia of Right Alar Cartilage

Congenital nasal anomalies like nasal clefts, hypoplasia-aplasia, duplications, neoplasms and vascular anomalies may be seen in every 20,000 to 40,000 live births. 1 In general, the reported cases are regarding the anomalies of columella and medial crura which are occasionally including skin defects.Varying degrees of hypoplasia/aplasia of the cartilage may result in divisions, gaps or segmental loss of alar crura as described by Kosins et al. 2 In this study, we reported a septorhinoplasty case in which we encountered an isolated congenital aplasia of the right alar cartilage. CASE REPORTA 50 years old female attended to our outpatient clinic with the complaints of nasal obstruction (pre-dominantly right side) and cosmetic concerns.There was no history of previous nasal trauma, severe infection or nasal operation.A through otorhinolaryngology examination was performed.Nasal septal deviation obstructing the left nasal cavity was observed.Ptosis of nasal tip, nasal hump and nasal axis deviation to right side was observed (Figure 1).Open technique septorhinoplasty operation was planned to treat both functional and aesthetics problems of the patient.In the medical history, she didn't complain any additional systemic diseases.The operation was performed under general anesthesia after orotracheal intubation.Local anesthesia was applied to nasal septum and external nose skin with 1/100,000 adrenaline containing lidocaine solution.After performing an inverted V incision, the flap over the nasal tip and dor-