Background: Nostril base and Alar wings are forming the major part of the nasal vestibule. This study proposes an innovative technique for functional restoration of alar lining and nostril base by myomucosal oral flap. It also evaluates the functional and aesthetic results of this technique after reconstruction of the nostril and alar subunits.
Patients and Methods: Case series study for the proposed technique. Study duration is one year, from start of 2018 till start of 2019. Each patient followed for 6 months. Study setting is a university-based plastic surgery practice. 12 Patients were complaining of unilateral nasal opening distortion due to scars. They included in consecutive sample. Proposed technique was operated on patients who underwent nostril base and Alar lining reconstruction. Objective morphological analysis is done for; the nasal width, mid-columella alar curvature distance, inter-axial angle and two nostril axis angles as well as the comparison of nasal pattern. Subjective analysis of patient's rating for breathing and aesthetic satisfaction level was reported.
Results: Functional and aesthetic outcomes were achieved from excellent to good. Breathing from the reconstructed nasal opening returned to the normal pre-scaring status in all cases.
Conclusion: To our knowledge, this article proposes a new innovative technique for functional reconstruction of Alar lining and nostril base by oral mucosal flap based on muscular pedicle. It could be a reliable, simple and straight forward technique.