ePlasty: Vol. 18
Nasal reconstruction: Nasal Alar Rim Notching Deformity Reconstruction With Auricular Composite Chondrocutaneous Graft
Spencer M. Jackson, BA, BS,a and Tom Reisler, MB ChB, BSc(Hons), MRCS(Ed)b

aDepartment of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC; and bDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC


Correspondence: tomre13@yahoo.com
Keywords: auricular composite chondrocutaneous graft, nasal alar rim notching, nasal alar rim retraction, alar rim defect, ear composite graft

DESCRIPTION

We present a case of a 72-year-old male patient who was referred to us with a 1.2 x 0.6-cm left alar rim notching and retraction defect (Fig 1). The alar distortion was a result of a previous basal cell carcinoma Mohs micrographic surgery in the left nasal alar groove/nasal sidewall, that is, not involving the alar rim. Mohs reconstruction led to subsequent contracture and distortion of the unoperated alar rim. We reconstructed the alar rim distortion using an auricular composite chondrocutaneous graft.

Figure 1. (a) Preoperative photograph demonstrating left alar notching and retraction secondary to a previous Mohs surgery performed in the alar gr .......