TEK TARAFLI İZOLE KONJENİTAL ALT LATERAL KIKIRDAK TOTAL YOKLUĞU OLGUSU

Year 2020, Volume: 83 Issue: 3, 302 - 306, 29.06.2020

Melihcan Sezgiç Perçin Karakol

Abstract

Burun kıkırdaklarının izole konjenital anomalileri oldukça ender görülen bir durumdur ve etiyolojisi hala tam olarak anlaşılamamıştır. Alt lateral kıkırdağın konjenital defektlerinin genelde fonksiyonel sorunlar veya major kozmetik sorunlar ile birlikte görüldüğü belirtilse de, bazen asemptomatik ve rastlantısal olarak da karşımıza çıkabilmektedir. Birbirlerine olan üstünlükleri kesin olarak bilinmemekle birlikte, defektin otojen kıkırdak greftleri ya da allojenik greftler ile rekonstrüksiyonu için bir çok yöntem daha önce belirtilmiştir. Rinoplasti operasyonunda, düzgün intraoperatif planlama ile bu tip olgularda da tatminkar sonuçlara ulaşılabilmektedir. Bu makalede; kozmetik talepleri ile rinoplasti amacıyla kliniğimize başvuran, fonksiyonel herhangi bir şikayeti olmayan, tek taraflı izole konjenital alt lateral kıkırdak total yokluğu olgusunu ve otojen kıkırdak greft ile rekonstruksiyonunu sunmayı amaçladık.

Keywords

Alt lateral kıkırdak, Konjenital, Rinoplasti

CONGENITAL UNILATERAL ISOLATED TOTAL ABSENCE OF LEFT LOWER LATERAL CARTILAGE

Abstract

Congenital isolated anomalies of nasal cartilages are very rare and the etiology is still not fully understood. Although congenital defects of the lower lateral cartilage are usually associated with functional or major cosmetic problems, they may also occasionally be presented as asymptomatic and incidental. Although their superiority to each other is not well known, several methods have previously been described for reconstruction of the defect with autologous cartilage grafts or allogenic grafts. With proper intraoperative planning, satisfactory results can be achieved in rhinoplasty operation in such cases. In this article we aimed to present a case of congenital unilateral isolated total lower lateral cartilage absence in a patient without any functional complaints and the reconstruction of it with autogenous cartilage graft.

Keywords

Alt lateral kıkırdak, Konjenital, Rinoplasti

References

• 1. Losee JE, Kirschner RE, Whitaker LA, Bartlett SP. Congenital nasal anomalies: a classification scheme. Plast Reconstr Surg 2004;113(2):676-89.
• 2. Nagasao T, Nakajima T, Hikosaka M, Kasai S, Miyamoto J. A rare case of congenital unilateral hypoplasia of the nose. J Plast Reconstr Aesthet Surg 2009;62(9):e305-8. 3. Funamura JL, Tollefson TT. Congenital Anomalies of the Nose. Facial Plast Surg 2016;32(2):133-41.
• 4. Tollefson TT, Humphrey CD, Larrabee WF Jr, Adelson RT, Karimi K, Kriet JD. The spectrum of isolated congenital nasal deformities resembling the cleft lip nasal morphology. Arch Facial Plast Surg 2011;13(3):152-60.
• 5. Bilen B, Kilinc H. A congenital isolated alar cleft. J Craniofac Surg 2006;17:602-4.
• 6. Barutca SA, Öreroğlu AR, Usçetin I, Kutlu N. Isolated congenital partial absence of the left lower lateral nasal cartilage: case report. Ann Plast Surg 2011;67(6):662-4. 7. Taş S. Isolated Congenital Partial Absence of the Lateral Crural Cartilage. J Craniofac Surg 2015;26(7):2231-2.
• 8. Adelson RT, Karimi K, Herrero N. Isolated congenital absence of the left lower lateral cartilage. Otolaryngol Head Neck Surg 2008;138(6):793-4.
• 9. Temiz G, Yeşiloğlu N, Sarici M, Filinte GT. Congenital isolated aplasia of lower lateral cartilage and reconstruction using dorsal hump material. J Craniofac Surg 2014;25(5):e411-3.
• 10. Temel M, Gunal E, Kahraman SS. Reconstruction of Congenital Isolated Alar Defect Using Mutaf Triangular Closure Technique in Pediatric Patients. J Craniofac Surg 2016;27(4):1087-9.
• 11. Bora A, Kurt Özkaya N, Durmuş K, Altuntaş EE. Tek taraflı izole nonsendromik alar kartilaj yokluğu olgunun literatür eşliğinde değerlendirilmesi. ENTcase 2019;5(1):37-42.
• 12. Bilkay U, Tokat C, Ozek C. Reconstruction of congenital absent columella. J Craniofac Surg 2004;15(1):60-3.
• 13. Lee JS, Lee KH, Shin SY, Kim SW, Cho JS. Anatomical anomalies of alar cartilage. Plast Reconstr Surg 2012;130(3):495e-7e.
• 14. Coban YK, Dogan A, Erbatur S. Isolated congenital hypoplasia of nasal lower lateral cartilages and its correction with helical rim and conchal cartilage composite grafts. Cleft Palate Craniofac J 2012;49(4):e42-5.