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- W4206801423 abstract "Sir: Our article1 emphasizes that in secondary repairs the alar base should not be medialized unless the caudal septum is straight. Then, after the lower lateral cartilage is elevated, the alar base position is measured to determine whether it needs to be repositioned. We and others have documented that with growth and development the cleft side alar base drifts laterally.2,3 Therefore, we overtighten the cleft side alar base a little at primary repair. Tse and colleagues suggest that we may have been influenced by “dogma” that the cleft side alar base is laterally displaced. We agree that it is possible for subconscious bias to affect visual interpretation. They present images showing alare on the noncleft side is more lateral in relation to ipsilateral endocanthion, as previously reported.4 We look forward to reading their upcoming article on this topic and specifically to learning how they incorporate their findings during primary unilateral cleft nasal repair. DISCLOSURE The authors have no financial interests to disclose. Ingrid M. Ganske, M.D., M.P.A.Katherine V. Isaac, M.D.Robin A. Tan, M.D.John B. Mulliken, M.D.Department of Plastic and Oral SurgeryBoston Children’s HospitalHarvard Medical SchoolBoston, Mass." @default.
- W4206801423 created "2022-01-26" @default.
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- W4206801423 date "2020-02-01" @default.
- W4206801423 modified "2023-09-27" @default.
- W4206801423 title "Reply: Beware the Alar Base Optical Illusion in Assessment of Unilateral Cleft Lip Nasal Deformity" @default.
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- W4206801423 doi "https://doi.org/10.1097/prs.0000000000006455" @default.
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