Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
JAMA Facial Plast Surg. 2016 Dec 1;18(6):462-466. doi: 10.1001/jamafacial.2016.0800.
Combined sill and alar excision is a useful procedure for correcting a wide nasal base and flared alar lobules. However, the aesthetic outcomes of this technique remain poorly reported.
To evaluate the aesthetic outcomes of combined sill and alar excision in Asian patients undergoing rhinoplasty.
DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study of 73 consecutive patients who underwent combined sill and alar excision from March 1, 2004, to January 31, 2013, was conducted at a tertiary referral hospital in Korea.
Combined sill and alar excision.
Changes in the ratio of the interalar distance to intercanthal distance and frequencies of alar flaring, nostril symmetry, and nostril shape, as measured by reviewing photographs taken before and after the surgery.
Among the 73 patients (50 men and 23 women; mean [SD] age, 36.5 [12.3] years) the mean (SD) ratio of interalar distance to intercanthal distance changed significantly from 1.07 (0.11) to 1.04 (0.08) (P < .001). Of the 60 patients with alar flaring, 45 (75%) no longer had flaring after the procedure. The frequency of nostril symmetry increased from 38 patients (52%) to 46 (63%) (P < .001). The frequency of horizontally shaped nostrils decreased from 21 patients (29%) to 2 (3%), while the frequency of the preferred pear-shaped nostrils increased from 20 patients (27%) to 35 (48%) (odds ratio, 1.16; 95% CI, 0.63-2.14; P = .02). There were 4 cases of complications, namely, alar deformity (1 patient [1%]), unsatisfactory correction of asymmetrical nostrils (1 [1%]), and unsatisfactory correction of alar flaring (2 [3%]).
Combined sill and alar excision was a useful technique with a low complication rate for correcting wide alar base, alar flaring, nostril asymmetry, and nostril shape.
联合鼻翼基底和鼻翼外侧脚切除术是矫正宽鼻翼基底和鼻翼外侧脚外扩的有效方法。然而，该技术的美学效果仍报道较少。
评估在接受鼻整形术的亚洲患者中，联合鼻翼基底和鼻翼外侧脚切除术的美学效果。
设计、地点和参与者：这是一项在韩国一家三级转诊医院进行的回顾性队列研究，共纳入了 73 例连续患者，这些患者均于 2004 年 3 月 1 日至 2013 年 1 月 31 日期间接受了联合鼻翼基底和鼻翼外侧脚切除术。
联合鼻翼基底和鼻翼外侧脚切除术。
通过比较手术前后的照片，评估鼻翼基底和鼻翼外侧脚切除术后患者的鼻翼间距离与内眦间距离比值以及鼻翼外扩、鼻孔对称性和鼻孔形状的变化。
在 73 例患者（50 名男性和 23 名女性；平均年龄 36.5 [12.3] 岁）中，鼻翼间距离与内眦间距离的比值从 1.07（0.11）显著变化至 1.04（0.08）（P < .001）。在 60 例有鼻翼外扩的患者中，45 例（75%）术后不再有鼻翼外扩。鼻孔对称性的频率从 38 例（52%）增加至 46 例（63%）（P < .001）。水平状鼻孔的频率从 21 例（29%）减少至 2 例（3%），而理想的梨状鼻孔的频率从 20 例（27%）增加至 35 例（48%）（优势比 1.16；95%置信区间 0.63-2.14；P = .02）。有 4 例并发症，即鼻翼畸形（1 例[1%]）、鼻孔不对称的矫正不满意（1 例[1%]）和鼻翼外扩的矫正不满意（2 例[3%]）。
联合鼻翼基底和鼻翼外侧脚切除术是一种有效且并发症发生率低的技术，可矫正宽鼻翼基底、鼻翼外扩、鼻孔不对称和鼻孔形状。
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