Ellenbogen R, Blome D W
Plast Reconstr Surg. 1992 Jul;90(1):28-37. doi: 10.1097/00006534-199207000-00004.
The relationship of the alar rim to columella visibility and nostril proportion is crucial to a good aesthetic result. The alar rim has been a neglected part of the nose in primary and secondary rhinoplasty procedures for want of a natural contouring operation. Results of directly excising the alar rim and its indications are presented with adequate follow-up. Indications for the procedure include (1) recontouring of the cleft lip nose with anterior webbing, (2) equalizing asymmetrical nostrils, (3) enlarging small nostrils, (4) correcting a hanging (sigmoid) ala, and (5) converting round to oval nostrils.
鼻翼边缘与鼻小柱显露及鼻孔比例的关系对于良好的美学效果至关重要。在一期和二期鼻整形手术中，由于缺乏自然的轮廓塑造手术，鼻翼边缘一直是鼻子被忽视的部分。本文介绍了直接切除鼻翼边缘的结果及其适应证，并进行了充分的随访。该手术的适应证包括：（1）修复伴有前部蹼状畸形的唇裂鼻；（2）矫正不对称鼻孔；（3）扩大小鼻孔；（4）矫正下垂（乙状）鼻翼；（5）将圆形鼻孔改为椭圆形鼻孔。
