{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:43:17Z","timestamp":1761007397026,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the role of creating an alar\u2010based advancement flap in narrowing the nasal base and correcting excessive alar flare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>This is a retrospective record review study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The study included 35 cases presenting with a wide nasal base and excessive alar flaring. The surgical procedure combined the alar base reduction with alar flare excision by creating a single laterally based alar flap. Any caudal septal deformities and any nasal tip modification procedures were corrected before the nasal base narrowing. The mean follow\u2010up period was 23\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean alar flap narrowing was 6.3\u00a0mm, whereas the mean width of sill narrowing was 2.9\u00a0mm. This single laterally based advancement alar flap resulted in a more conservative external resection, thus avoiding alar wedge overresection or blunting of the alar\u2010facial crease. No cases of postoperative bleeding, infection, or keloid were encountered, and the external alar wedge excision healed with no apparent scar that was hidden in the depth of the alar\u2010facial crease. The risk of notching of the alar rim at the sill incision is reduced by adopting a 2\u2010layer closure of the vestibular floor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The alar base advancement flap is an effective technique in narrowing both the nasal base and excessive alar flare. It adopts a single skin excision to correct the 2 deformities while commonly feared complications were avoided.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599810390891","type":"journal-article","created":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T13:38:02Z","timestamp":1293802682000},"page":"48-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Nasal Base Narrowing"],"prefix":"10.1002","volume":"144","author":[{"given":"Ahmed Soliman","family":"Ismail","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Alexandria Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"449","article-title":"On restoring sunken noses without scarring the face","volume":"56","author":"Wier RF","year":"1892","journal-title":"N Y Med J"},{"volume-title":"Nasenplastik und sonstige Gesichtsplastik nebst Mammaplastik","year":"1987","author":"Joseph J","key":"e_1_2_7_3_2"},{"key":"e_1_2_7_4_2","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1288\/00005537-194305000-00003","article-title":"A few hints and surgical details in rhinoplasty","volume":"57","author":"Aufricht G","year":"1943","journal-title":"Laryngoscope"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(75)90158-7"},{"key":"e_1_2_7_6_2","first-page":"99","volume-title":"Techniques in Aesthetic Rhinoplasty","author":"Peck GC","year":"1984"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31471-1"},{"key":"e_1_2_7_8_2","first-page":"289","volume-title":"Aesthetic Facial Surgery","author":"Cottle MH","year":"1991"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198005000-00020"},{"key":"e_1_2_7_10_2","first-page":"181","volume-title":"Rhinoplastic Surgery","author":"Berman WE","year":"1989"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.9.1.30"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.7.2.81"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-004-0130-5"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.12.1365"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001905300"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-003-3126-7"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.06.014"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01576917"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/074880689000700407"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70162-6"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599810390891","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599810390891","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599810390891","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:49:28Z","timestamp":1760964568000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599810390891"}},"subtitle":["The Alar Flap Advancement Technique"],"short-title":[],"issued":{"date-parts":[[2010,12,31]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.1177\/0194599810390891"],"URL":"https:\/\/doi.org\/10.1177\/0194599810390891","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2010,12,31]]},"assertion":[{"value":"2010-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-08-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-12-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}