Isolated cleft of alar rim
A 14-year-old boy, child of non-consanginous parents reported to our centre with complaints of unaesthetic appearance of the nose []. On examination, a defect in the right alar rim was identified which was present since birth. The history revealed no form of cleft in any of the family members and no previous surgery or any trauma has been experienced on the nose. On examination, the right alar cartilage was found to be abnormally attached in a superior position. Systemic examination of face and other organ systems revealed no other anomalies. The lip was normally developed with no notching of the vermillion, nor was there any defect present in the orbicularis oris muscle. The palate was normally developed and the occlusion was normal. The case was diagnosed as a congenital isolated alar rim defect or Tessier's Type 1. The treatment plan was correction of the defect with the help of a local rotation advancement full-thickness flap.