Lateral Overlay Sliding Transposition (LOST): A Novel Surgical Technique in Patients with Cephalic Malposition and Alar Retraction

Abstract

Objective: This study aims to demonstrate a new surgical technique that can be applied in patients with cephalic malposition and patients with alar retraction. Methods: In this technique, a cartilage incision is made between the upper 2/3 and lower 1/3 close to the caudal edge and parallel to the cephalic edge of the lateral crus. Following this incision, the cephalic lateral crus and middle crus are meticulously dissected away from the underlying vestibular skin. The prepared flap is transposed over the intact caudal part of the lateral crus and secured in position. Results: The average age of the patients included in the study was 24 years. The mean follow-up period was nine months, ranging from 6 to 12 months. No complications were observed following the application of the technique. Satisfactory outcomes were achieved postoperatively. Conclusion: Lateral overlay sliding transposition as a novel surgical technique has been demonstrated in patients presenting with cephalic malposition, mild to moderate alar retraction, and alar irregularity. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .