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  Indian J Med Microbiol
 

Figure 7: Case 6 presentation: male patient with nasal cleft Tessier 2 in the form of hypoplasia of right ala and ipsilateral side of dorsum with notch in medial 1/3 of ala. This case was managed in seven stages in the form of local Z flaps and repeated bone and cartilage grafts. (a) Preoperative frontal view; (b) preoperative occipitomental view; (c) intraoperative view: show local flap Z plasty to correc t skin defi ciency; (d) intraoperative view: after positioning of the local fl aps and input of iliac bone graft); (e) postoperative view after repeated bone and cartilage grafts to restore normal aesthetic anatomy; (f) postoperative oblique view.

Figure 7: Case 6 presentation: male patient with nasal cleft Tessier 2 in the form of hypoplasia of right ala and ipsilateral side of dorsum with notch in medial 1/3 of ala. This case was managed in seven stages in the form of local Z flaps and repeated bone and cartilage grafts. (a) Preoperative frontal view; (b) preoperative occipitomental view; (c) intraoperative view: show local flap Z plasty to correc t skin defi ciency; (d) intraoperative view: after positioning of the local fl aps and input of iliac bone graft); (e) postoperative view after repeated bone and cartilage grafts to restore normal aesthetic anatomy; (f) postoperative oblique view.