The reconstruction of alar cartilaginous rings in the congenital deformity of nose correction

Objective To explore some effective restitution surgery that consistent with the anatomy features of the congenital deformity of nose.Methods A total of 62 cases of congenital deformity of nose were involved.According to their deformity features,the nasal alar cartilage brackets were remodeled to restore the alar cartilaginous fibrous ring and the nasal muscle were shifted and fixed to restore the alar cartilaginous muscular ring assisted with the nasal columella prolongation and the nasal superficial musculoaponeurotic flap reconstruction.Results The postoperative follow-ups with 6～24 months revealed good results of the symmetrical nasal wings and nostrils and centered nasal columella.Conclusion The maldevelopment or breakage in the alar cartilaginous rings is the important anatomic foundation for the formation of congenital deformity of nose.The key point for ensuring the curative effect is to reconstruct the alar cartilaginous rings.