Kilci Gamze Didem, Başer Engin, Verim Ayşegül, Çalim Ömer Faruk, Veyseller Bayram, Özturan Orhan, Altintaş Ahmet, Çelik Mustafa
Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Braz J Otorhinolaryngol. 2018 Jul-Aug;84(4):426-434. doi: 10.1016/j.bjorl.2017.04.010. Epub 2017 May 20.
The first and one of the most important steps in facial plastic surgery is accurate preoperative facial analysis and recording of data that may help the surgeon to check the outcomes of his/her techniques, promoting a surgeon's professional development.
To evaluate the esthetic outcomes of external septorhinoplasty relevant to ethnic facial harmony and to investigate the relationship of the columellar incision scar with the type of skin and columellar incision type in a Turkish population.
In total, 28 consecutive adult male patients with a mean age of 32.14±10.66 years (range: 18-61 years) were included the study. Primary outcomes were preoperative and postoperative photogrammetric facial analyses of the patients including measurement of nasofrontal angle, nasolabial angle and nasal projection ratios (Gode) assessed according to the data derived from the Rhinobase program. Results were compared to facial proportions of the Turkish population. Columellar incision scar scores related to the Fitzpatrick skin type classification of the patients and columellar incision types used for the external approach were secondary outcomes of the study.
Mean preoperative and postoperative nasofrontal angles were 148.04°±8.18° and 144.50°±7.15°, respectively, while mean preoperative and postoperative nasolabial angles were 87.59°±14.01° and 98.50°±9.71°, respectively. Mean preoperative and postoperative nasal tip projection ratios were 0.56±0.05 and 0.60±0.06, respectively. The differences between pre- and postoperative measurements were all significantly different and were in accordance with Turkish nasal harmony. Columellar inverted "V" incisions were performed in 15 (53.6%) patients while "V" incisions were used in 13 (46.4%) patients. Fitzpatrick skin Type 4 was seen in 46.42% of the patients, Fitzpatrick Type 3 in 46.42% and Fitzpatrick Type 2 in 7.14% of the patients. No significant difference was seen between columellar scar scores according to skin type and columellar incision type used for external septorhinoplasty.
This study demonstrated that outcomes for nasofrontal angle, nasolabial angle and nasal tip projection ratios analyzed using the Rhinobase program in patients who underwent external septorhinoplasty were similar to reference values for the Turkish population.
面部整形手术的首要且最重要的步骤之一是准确的术前面部分析和数据记录，这有助于外科医生检查其技术效果，促进外科医生的专业发展。
评估外鼻整形术与种族面部和谐相关的美学效果，并调查土耳其人群中鼻小柱切口瘢痕与皮肤类型和鼻小柱切口类型之间的关系。
本研究共纳入28例连续的成年男性患者，平均年龄为32.14±10.66岁（范围：18 - 61岁）。主要结局是对患者进行术前和术后的摄影测量面部分析，包括根据鼻基底程序得出的数据评估鼻额角、鼻唇角和鼻突度比例（戈德）。将结果与土耳其人群的面部比例进行比较。与患者的菲茨帕特里克皮肤类型分类以及外鼻手术中使用的鼻小柱切口类型相关的鼻小柱切口瘢痕评分是本研究的次要结局。
术前和术后的平均鼻额角分别为148.04°±8.18°和144.50°±7.15°，术前和术后的平均鼻唇角分别为87.59°±14.01°和98.50°±9.71°。术前和术后的平均鼻尖突度比例分别为0.56±0.05和0.60±0.06。术前和术后测量值之间的差异均具有统计学意义，且符合土耳其人的鼻和谐标准。15例（53.6%）患者采用鼻小柱倒“V”形切口，13例（46.4%）患者采用“V”形切口。46.42%的患者为菲茨帕特里克皮肤4型，46.42%为3型，7.14%为2型。根据皮肤类型和外鼻整形术中使用的鼻小柱切口类型，鼻小柱瘢痕评分之间无显著差异。
本研究表明，使用鼻基底程序分析接受外鼻整形术患者的鼻额角、鼻唇角和鼻尖突度比例的结果与土耳其人群的参考值相似。
