Use of alar rim grafts
by Rajib Guy Kenyon, Rajib Dasgupta Kenyon

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates ways to correct alar collapse. Although the terms ‘alar batten’ and ‘alar strut grafts’ are used interchangeably with some confusion, they have specific meanings and purposes. Alar strut grafts are placed over the lateral crus to reinforce it and prevent collapse and a pinched look. This graft is particularly useful if the lateral crus is naturally concave to the nasal vestibule and is producing a deformity in the supra-alar crease. A gentle curve to the graft aids optimal placing and an external approach rhinoplasty permits the best access for this graft. The graft should not be too thick, as that would result in an undesirable excessive rigidity and thickening of the ala.

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