Bilateral congenital aplasia of nasal lower lateral cartilage: a rare anomaly

Kapil Soni; Darwin Kaushal; Bikram Choudhury; Ranjit Kumar Sahu

doi:10.1136/bcr-2019-231905

Bilateral congenital aplasia of nasal lower lateral cartilage: a rare anomaly

BMJ Case Rep. 2020 Jan 5;13(1):e231905. doi: 10.1136/bcr-2019-231905.

Authors

Kapil Soni¹, Darwin Kaushal¹, Bikram Choudhury¹, Ranjit Kumar Sahu²

Affiliations

¹ Department of Otorhinolaryngology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India.
² Burns and Plastic Surgery, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India [email protected].

Abstract

Congenital nasal anomalies are rare and occur in 1/20 000-1/40 000 newborns. An 8-year-old boy presented with developmental aplasia of bilateral nasal lower lateral cartilages, with excessive wrinkled and loose skin on the dorsum of the nose and with difficulty breathing through the nose. This is probably the first such case to be reported in the literature. The defect was reconstructed using conchal and septal cartilage grafting through an external rhinoplasty approach. At the end of the 12-month follow-up period, the patient was found to be satisfied with the functional and aesthetic results of the operation. Bilateral congenital aplasia of nasal lower lateral cartilages is extremely rare. Paediatric rhinoplasty is imperative in such cases.

Keywords: otolaryngology / ENT; plastic and reconstructive surgery.

Publication types

Case Reports

MeSH terms

Child
Humans
Male
Nasal Cartilages / abnormalities*
Nasal Cartilages / surgery*
Nose / abnormalities*
Nose / surgery*
Rare Diseases
Rhinoplasty*