case_images: PMC3591078_01
case_images: Preoperative frontal view of the patient
case_images: AMS-2-60-g001.jpg
case_images: PMC3591078_01_AMS-2-60-g001.jpg
case_images: F1
case_images: A 14-year-old boy, child of non-consanginous parents reported to our centre with complaints of unaesthetic appearance of the nose [Figure 1].
case_images: Illustration showing the incision markings
case_images: AMS-2-60-g002.jpg
case_images: PMC3591078_01_AMS-2-60-g002.jpg
case_images: F2
case_images: The markings for the incision were placed as shown in Figures 2 and 3 and the first full-thickness incision was placed on the anterior border of the lateral alar margin of the cleft extending from point A to point B as shown in Figures 4 and 5.
case_images: Intraoperative view with incision markings
case_images: AMS-2-60-g003.jpg
case_images: PMC3591078_01_AMS-2-60-g003.jpg
case_images: F3
case_images: The markings for the incision were placed as shown in Figures 2 and 3 and the first full-thickness incision was placed on the anterior border of the lateral alar margin of the cleft extending from point A to point B as shown in Figures 4 and 5.
case_images: Intraoperative view after full-thickness flap elevation
case_images: AMS-2-60-g004.jpg
case_images: PMC3591078_01_AMS-2-60-g004.jpg
case_images: F4
case_images: The markings for the incision were placed as shown in Figures 2 and 3 and the first full-thickness incision was placed on the anterior border of the lateral alar margin of the cleft extending from point A to point B as shown in Figures 4 and 5.
case_images: Illustration showing the repositioned second full-thickness flap
case_images: AMS-2-60-g005.jpg
case_images: PMC3591078_01_AMS-2-60-g005.jpg
case_images: F5
case_images: The markings for the incision were placed as shown in Figures 2 and 3 and the first full-thickness incision was placed on the anterior border of the lateral alar margin of the cleft extending from point A to point B as shown in Figures 4 and 5. The incision from point C to point D placed on the medial side of the alar cleft leads to a full-thickness flap that is rotated in a lateral direction to close the "V"-shaped surgical defect [Figure 5].
case_images: Illustration showing the completed reconstruction
case_images: AMS-2-60-g006.jpg
case_images: PMC3591078_01_AMS-2-60-g006.jpg
case_images: F6
case_images: Closure was done in layers with simple interrupted sutures, muscle layer closed with 4-0 vicyrl and skin with 5-0 prolene as shown in Figures 6 and 7.
case_images: Immediate postoperative picture
case_images: AMS-2-60-g007.jpg
case_images: PMC3591078_01_AMS-2-60-g007.jpg
case_images: F7
case_images: Closure was done in layers with simple interrupted sutures, muscle layer closed with 4-0 vicyrl and skin with 5-0 prolene as shown in Figures 6 and 7.
case_images: Postoperative frontal view after 2 years
case_images: AMS-2-60-g008.jpg
case_images: PMC3591078_01_AMS-2-60-g008.jpg
case_images: F8
case_images: The patient has been followed up for the past 2 years and the esthetic outcome of the surgery has been satisfactory for the patient and the surgeon as shown in Figure 8.