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Hwang et al.                                                                                                                                                                         Medially based de-epithelialized flap

           distance  and  alar  curvature  distance  were  7.09%  ±   REFERENCES
           3.72% and 6.46% ± 6.24%, respectively [Table 1]. Nostril
           length increased on the non-cleft side (6.17% ± 15.60%;   1.   Hamilton GS 3rd.  Y-V alar base reduction.  Ear Nose Throat J
           P = 0.04). Although it was not a statistically significant   2014;93:98-102.
           finding (P > 0.05), nostril length decreased on the cleft   2.   Ismail AS. Nasal base narrowing: the alar flap advancement technique.
           side (2.95% ± 30.81%) [Tables 1 and 2]. This indicates   Otolaryngol Head Neck Surg 2011;144:48-52.
           that flap augmentation was beneficial.             3.   Foda HM. Alar base reduction: the boomerang-shaped excision. Facial
                                                                  Plast Surg 2011;27:225-33.
           We  think  that  this  is  an  advantageous  technique  that   4.   Farkas LG, Kolar JC, Munro IR. Geography of the nose: a morphometric
           uses  tissue  that  may  be  discarded  to  improve  nasal   5.   study. Aesthetic Plast Surg 1986;10:191-223.
                                                                  Stewart A, Edler RJ. Efficacy and stability of the alar base cinch suture.
           symmetry.  The  medially  based  de-epithelialized  flap   Br J Oral Maxillofac Surg 2011;49:623-6.
           may be a viable method for nasal base narrowing and   6.   Gruber RP, Freeman MB, Hsu C, Elyassnia D, Reddy V. Nasal base
           nostril sill augmentation in cleft lip nasal deformities.  reduction by alar release: a laboratory evaluation. Plast Reconstr Surg
                                                                  2009;123:709-15.
           Financial support and sponsorship                  7.   Uhm KI, Shin KS, Lee  YH, Lew JD. Nostril sill augmentation in
           This  study  was  supported  by  Inha  University  (INHA-  secondary cleft lip. Ann Plast Surg 1987;19:391-9.
           Research Grant).                                   8.   Kostianovsky  AS. Upper and lower lip augmentation by buried,
                                                                  deepithelialized local flaps: an alternative to the use of foreign material
           Conflicts of interest                                  implants when shortening the lips. Aesthetic Plast Surg 1996;20:433-7.
           There are no conflicts of interest.                9.   Guerrissi JO, Sanchez LI. An approach to the senile upper lip. Plast
                                                                  Reconstr Surg 1993;92:1187-91.
           Patient consent                                    10.  Guerrissi JO. Surgical treatment of the senile upper lip. Plast Reconstr
           Informed consent for medical photographs was obtained.  Surg 2000;106:938-40.
                                                              11.  Millard DR. Cleft Craft. The Evolution of Its Surgery. In: The Unilateral
           Ethics approval                                        Deformity (Vol 1). 1st ed. Philadelphia: Lippincott Williams & Wilkins;
                                                                  1976.
           All procedures performed in studies involving human   12.  Green MF. The embryological, developmental and functional importance
           participants were in accordance with the ethical       in the repair of the nasal musculature to reduce the deformity of the cleft
           standards of the institutional and/or national research   lip nose. Scand J Plast Reconstr Surg Hand Surg 1987;21:1-5.
           committee and with the 1964 Helsinki declaration and   13.  Oh M, Lee DC, Choi TH, Kim S. Anatomic study of the nostril sill:
           its later amendments or comparable ethical standards.  classification and histologic findings. Ann Plast Surg 2010;65:56-9.





































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