Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with concerns regarding alar retraction, noting a visible elevation of the alar rim and increased columellar show. Onset is [post-rhinoplasty/congenital/post-traumatic]. Patient reports associated symptoms of [nasal obstruction/nasal valve collapse/aesthetic dissatisfaction]. No history of recent infection or intranasal instrumentation.
Clinical Examination Findings
Physical examination reveals cephalic malposition of the alar cartilages with retraction of the alar rim >2mm from the long axis of the nostril. Assessment of the nasal valve shows [dynamic/static] collapse upon inspiration. Columellar-alar relationship is [normal/disrupted] with [excessive/insufficient] columellar show. Skin envelope quality is [thin/thick].
Treatment Protocol
Proposed surgical intervention involves correction of alar retraction via [alar rim graft/composite graft/lateral crural strut graft]. Procedure aims to restore alar rim position, stabilize the external nasal valve, and improve aesthetic symmetry. Post-operative care includes [topical antibiotic ointment/nasal splinting/avoidance of nasal pressure].