Subperichondrial haematomas of the nasal alar cartilage

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

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Anatomical Anomalies of Alar Cartilage

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e31825dc5e6 ◽

2012 ◽

Vol 130 (3) ◽

pp. 495e-497e ◽

Cited By ~ 2

Author(s):

Jun Seok Lee ◽

Kun Hee Lee ◽

Seung Youp Shin ◽

Sung Wan Kim ◽

Joong Saeng Cho

Keyword(s):

Alar Cartilage

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Evaluation of a new procedure for nasal alar rim and valve collapse: Nasal alar rim reconstruction

Otolaryngology ◽

10.1016/s0194-5998(00)70240-3 ◽

2000 ◽

Vol 122 (2) ◽

pp. 204-211 ◽

Cited By ~ 38

Author(s):

Robert J. Troell ◽

Nelson B. Powell ◽

Robert W. Riley ◽

Kasey K. Li

Keyword(s):

Retrospective Study ◽

Medical Center ◽

Subjective Evaluation ◽

Alar Cartilage ◽

Cartilage Graft ◽

Nasal Valve ◽

The Mean ◽

Nasal Valve Collapse ◽

Alar Rim ◽

Valve Area

OBJECTIVE A new operative technique to improve nasal valve collapse by placement of cartilage struts along the alar rim was compared with the standard nasal valve cartilage graft (NVG) technique. METHODS AND PATIENTS A retrospective study of consecutive patients with nasal valve collapse was performed at Stanford University Medical Center. Seventy-nine patients with nasal valve collapse underwent reconstruction with either the classic NVG technique or a newly developed nasal alar rim reconstructive (NARR) procedure. The mean age of the NARR group was 50.13 years (SD ± 9.40), with 36 men (92.3%) and 3 women (7.7%). The mean age of the NVG group was 52.14 years (SD ± 10.83), with 36 men (90%) and 4 women (10%). MAIN OUTCOME MEASURES These included functional and subjective evaluation of nasal valve collapse. RESULTS Forty patients (50.6%) underwent the NVG technique, and 39 (49.4%) received the NARR procedure. The NVG technique revealed 0% worsened, 15.0% (6/40) unchanged, 25.0% (10/40) improved, and 60% (24/40) free of obstruction. The NARR procedure revealed 2.6% worsened, 2.6% unchanged, 7.7% improved, and 87.1% free of obstruction. CONCLUSIONS Nasal alar cartilage struts placed along the caudal alar rim offers sufficient support to the alar rim and valve area. This procedure appears to be as effective as currently available reconstructive alternatives, while being technically uncomplicated.

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