CC BY-NC-ND 4.0 · Indian J Plast Surg 2012; 45(03): 512-515
DOI: 10.4103/0970-0358.105962
Original Article
Association of Plastic Surgeons of India

Isolated cleft of the ala nasi: A report of seven cases

J. Rajesh Jinka
Department of Plastic Surgery, Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, India
,
Harikiran Chekuri
Department of Plastic Surgery, Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, India
,
Gopalakrishna Annavarapu
Department of Plastic Surgery, Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, India
› Author Affiliations
Further Information

Publication History

Publication Date:
21 November 2019 (online)

ABSTRACT

Craniofacial clefts other than cleft lip & palate are reported to be 1.4 to 4.9 per 100,000 live births. Of these, clefts of nose are usually associated with other clefts. Isolated cleft of Ala is rare, 0.7% of all clefts reported by Monasterio. In an analysis of photographic records of 3,500 consecutive patients with craniofacial clefts including cleft lip & palate registered with us between 1985- 2012 which were accessed through our data base, 13 patients with nasal clefts were identified, seven out of which had Isolated cleft of the Ala. All were treated by a rotation flap of the Ala with good results with the longest follow up of 14Yrs. The authors have emphasised the rarity of the condition and presented a simple surgical procedure for correction. In the opinion of the authors this very simple procedure which can be performed by the junior surgeon gives a good long term result in the management of cleft Ala.

 
  • 1 Tessier P. Anatomical classification facial, craniofacial and latero-facial clefts. J Maxillofac Surg 1976;4:69-92.
  • 2 Newman MH. Burdi AR. Congenital alar field defects: Clinical and embryological observations. Cleft Palate J 1981;18:188-92.
  • 3 Losee JE, Kirschner RE, Whitaker LA, Bartlett SP. Congenital nasal anomalies: A classification scheme. Plast Reconstr Surg 2004;113:676-89.
  • 4 Ortiz Monasterio F, Fuentedel Campo A. Dimopulos A. Nasal clefts. Ann Plast Surg 1987;18:377-97.
  • 5 Agrawal K, Panda KN, Prasad S. Isolated tessier no. 1 cleft the nose. Ann Plast Surg 1998;41:311-3.
  • 6 Novacovit M, Baraliæ I, Stepiæ N, Rajoviæ M, Stojiljkoviæ V. Denonvilliers′ advancement flap in congenital alar rim defects correction. Vojnosanit Pregl 2009;66:403-6.