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Nose Reconstruction by Dr. Frederick J Menick

Preparation of alar support

Normally the ala contains no cartilage, but an alar margin Batten graft must be placed into a large deep defect of the ala to support, shape and brace the reconstructed ala postoperatively, even for more limited superficial defects.

Although septal or rib cartilage can be utilized, conchal cartilage is ideal because of its natural curvature.