Congenital absence of the lower lateral nasal cartilage is rare. The authors discuss correcting the absence using an open approach technique to harvest septal cartilage. This is then fashioned into a shield graft and a supporting strut graft to define the nasal tip in a better manner. Lateral osteotomies were then performed to narrow the nose and close any roof deformity. Whilst this appears to be a successful operation for a rare condition, the technique could potentially be used following trauma or skin cancer surgery for invasive tumours in that area of the nose. 

Aesthetic correction of isolated congenital absence of nasal lower lateral cartilages.
Şentürk S, Tuncer E.
EUROPEAN JOURNAL OF PLASTIC SURGERY
2013;36:527-30.
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Miles Bannister

Aberdeen Royal Infirmary, Aberdeen, UK

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