Cosmetic

382) Which of the following is the MOST important factor in DECREASING the incidence of nasal alar retraction during rhinoplasty?

A. The incidence of alar retraction will decrease by using a nondelivery approach and transcartilaginous incisions during surgery.
B. The incidence of alar retraction will decrease by avoiding trauma to the caudal septal area during surgery.
C. The incidence of alar retraction will decrease by gentle care of the lower lateral cartilage and soft-tissue envelope during surgery.
D. The incidence of alar retraction will decrease by conservative resection of the alar cartilage during surgery.
E. Alar retraction will decrease by avoiding severe external nasal trauma during surgery.




REFERENCES & ANSWER

Becker D. G.: Complications of Rhinoplasty, Chapter 39 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, p. 454, 2002

Becker D. G.: Complications of Rhinoplasty, Chapter 49 in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, p. 639, 2009

Becker D. G., Becker S. S.: Reducing Complications in Rhinoplasty, Otolaryngology Clinics of North America, 2006; 39: 473-492



382) D       The incidence of alar retraction will decrease by conservative resection of the alar cartilage during surgery.