PMC3335671_01
(a) Oblique view of the case at 10-month old. (b) Preoperative frontal view of the case at 2-year old. (c) The dotted parts indicate the incision made for the alar transposition and the area of the flap inset. The straight lines show the incisions for the irregular Z-plasty. (d) Intraoperative photograph after alar transposition flap and irregular Z-plasty. (e)-(f) At 3-month followup.
PSI2011-596569.001.jpg
PMC3335671_01_PSI2011-596569.001.jpg
fig1
For the repair of the deformity in the patient, alar transposition flap (for nasomalar component) and irregular Z-plasty (for lid component) have been planned in an asymmetrical manner considering the nasomalar and the lid components separately as suggested by Mishra and Purwar (Figure 1).