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Hardik Gupta
Vikas Kunwar Singh
Ruchika Tiwari
Sakshi Kudal
Prashansa Gaikwad


nasal alar, Defects, OPD, nasal lobule


The nasal ala is a paired part of the nostril that is vital for maintaining nasal symmetry and functionally important in the maintenance of the nasal opening. Defects of the nasal alar region are challenging and difficult to reconstruct, given its complex structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function.2 

Advantage of the paranasal flap is a donor site that is a good match for the ala and lacks terminal hairs. Additional advantages have become evident with time. First, the axis of rotation is 90 degree or less, thus necessitating a shorter flap and placing less torsional constriction on the flap’s vascular pedicle. This is a novel flap whose use is in patients with small-medium defects. The advantages include excellent final cosmetics with regard to contour, color, texture, lack of hair transfer, minimal risk of alar margin distortion and cheek asymmetry, and overall lower morbidity.

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