Our Summary

This research paper presents a simpler technique for correcting a condition called alar retraction, which is a deformity of the nose where the nostrils are pulled up or out. Traditionally, this condition is corrected using cartilage or composite grafts, which can be complex and cause damage to the area from which the graft is taken. However, the researchers have developed a simpler technique called external Z-plasty, which doesn’t require grafts.

The study involved 23 patients with alar retraction who were unhappy with the shape of their nose. The researchers performed the external Z-plasty procedure on these patients and then monitored them for an average of 8 months.

The results showed that the procedure successfully corrected the alar retraction in all patients, with no reports of flap loss, recurrence of alar retraction, or nasal blockages. Most patients experienced minor red scarring at the site of the surgery, which became less noticeable after six months. Out of the 23 patients, 15 were very satisfied with the cosmetic result of the procedure, seven were satisfied with the effect and the minimal scarring, and one was unhappy with the scar but happy with the correction of the retraction.

The researchers concluded that the external Z-plasty technique is a good alternative for correcting alar retraction, especially for patients with severe alar retraction and poor skin flexibility, as long as they are not overly concerned about potential scarring.

FAQs

  1. What is the external Z-plasty technique developed for correcting alar retraction?
  2. What were the results of the study on patients who underwent the external Z-plasty procedure?
  3. Who are the ideal candidates for the external Z-plasty technique according to the researchers?

Doctor’s Tip

A doctor might tell a patient about z-plasty that it is a simple and effective technique for correcting certain deformities, such as alar retraction, without the need for complex grafts. They may also mention that while there may be some minor scarring, the overall cosmetic results are typically very satisfactory. It is important for patients to weigh the benefits of the procedure against the potential for scarring and discuss any concerns with their doctor before proceeding.

Suitable For

Patients who are typically recommended for a Z-plasty procedure are those with alar retraction, a deformity of the nose where the nostrils are pulled up or out. This procedure is especially recommended for patients with severe alar retraction and poor skin flexibility. The Z-plasty technique is a good alternative for correcting this condition, especially for those who are not overly concerned about potential scarring.

Timeline

Before Z-plasty:

  • Patient identifies alar retraction as a concern with their nose shape
  • Consultation with a plastic surgeon to discuss treatment options
  • Traditional treatment options involving cartilage or composite grafts are considered
  • Decision made to undergo external Z-plasty procedure

After Z-plasty:

  • Procedure performed on the patient to correct alar retraction
  • Patient monitored for an average of 8 months post-procedure
  • Successful correction of alar retraction in all patients
  • Minor red scarring experienced by most patients, which becomes less noticeable over time
  • Majority of patients satisfied with the cosmetic result of the procedure
  • No reports of flap loss, recurrence of alar retraction, or nasal blockages
  • Researchers conclude that external Z-plasty is a good alternative for correcting alar retraction, especially for patients with severe alar retraction and poor skin flexibility.

What to Ask Your Doctor

  1. What is the external Z-plasty procedure and how does it differ from traditional methods of correcting alar retraction?
  2. What are the potential risks and complications associated with the external Z-plasty procedure?
  3. How long is the recovery period after undergoing the external Z-plasty procedure?
  4. Will I need to follow any specific post-operative care instructions after the procedure?
  5. What are the expected outcomes of the external Z-plasty procedure in terms of correcting my alar retraction?
  6. Are there any alternative treatment options for correcting alar retraction that I should consider?
  7. How many external Z-plasty procedures have you performed for correcting alar retraction, and what is your success rate with this technique?
  8. Can you provide before and after photos of previous patients who have undergone the external Z-plasty procedure for alar retraction?
  9. What is the cost of the external Z-plasty procedure, and will it be covered by insurance?
  10. Are there any long-term effects or considerations I should be aware of after undergoing the external Z-plasty procedure for correcting alar retraction?

Reference

Authors: Yu BF, Zhu HJ, Chen XX, Wang Z, Dai CC, Wei J. Journal: J Craniofac Surg. 2023 Oct 1;34(7):2168-2172. doi: 10.1097/SCS.0000000000009435. Epub 2023 May 29. PMID: 37253233