Taş Süleyman
From the Medical Park Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.
Ann Plast Surg. 2016 Oct;77(4):383-7. doi: 10.1097/SAP.0000000000000648.
Nasal base retraction results from cephalic malposition of the alar base in the vertical plane causing disharmonies in the alar base. In literature, there are some excisional procedures to correct this deformity, but it may result to nostril distortion, stenosis, or upper lip elevation. Here, a new technique is reported for the correction of nasal base retraction in crooked nose by manipulating the levator labii alaeque nasi muscle.
Sixteen patients, 6 women and 10 men ranging in age from 21 to 42 years, who have alar retraction with crooked nose, were operated, with a follow-up period of 12 months. Preoperative and postoperative frontal, profile, base, and oblique base views in a standard manner were taken and analyzed with Image software.
Comparison of preoperative and postoperative photographs demonstrated that nasal base retractions were corrected in all cases without distortion and recurrence. Nasal obstruction was reduced after surgery, and self-evaluation of nasal patency scores significantly increased in all patients (P < 0.001). Functional and aesthetic outcomes were satisfactory for surgeons and the patients.
Careful analysis to identify the deformity and proper selection of the technique will ensure a pleasing outcome. The new techniques presented for the correction of nasal base retraction and prevention of the recurrence of the dorsal deviation will help rhinoplasty surgeons obtain pleasing outcomes.
鼻基底退缩是由于鼻翼基底在垂直平面上的头部位置异常，导致鼻翼基底不协调。在文献中，有一些切除手术来纠正这种畸形，但可能会导致鼻孔变形、狭窄或上唇抬高。在此，报告一种通过操纵提上唇鼻翼肌来纠正歪鼻鼻基底退缩的新技术。
对16例年龄在21至42岁之间、患有鼻翼退缩伴歪鼻的患者进行手术，随访12个月。以标准方式拍摄术前和术后的正面、侧面、基底和斜基底视图，并用图像软件进行分析。
术前和术后照片比较显示，所有病例的鼻基底退缩均得到纠正，无变形和复发。术后鼻塞减轻，所有患者鼻通畅评分的自我评估显著提高（P < 0.001）。外科医生和患者对功能和美学效果均满意。
仔细分析以识别畸形并正确选择技术将确保获得满意的结果。所提出的用于纠正鼻基底退缩和预防背侧偏斜复发的新技术将有助于鼻整形外科医生获得满意的结果。
