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Case report
Bilateral congenital aplasia of nasal lower lateral cartilage: a rare anomaly
  1. Kapil Soni1,
  2. Darwin Kaushal1,
  3. Bikram Choudhury1 and
  4. Ranjit Kumar Sahu2
  1. 1Department of Otorhinolaryngology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India
  2. 2Burns and Plastic Surgery, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Ranjit Kumar Sahu; drsahuplastikos{at}


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.

  • otolaryngology / ENT
  • plastic and reconstructive surgery
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  • Contributors KS is the primary surgeon responsible for the conception and design of the study. DK and BC are the assistant surgeons responsible for drafting the article and providing the images. RKS was responsible for proof-reading the article and finalising the manuscript. All authors have read and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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