Naraghi Mohsen, Atari Mohammad, Asadollahi Hossein
Division of Rhinology and Facial Plastic Surgery, Department of Otorhinolaryngology-Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Surg J (N Y). 2016 Feb 24;2(1):e44-e48. doi: 10.1055/s-0036-1579658. eCollection 2016 Mar.
The aesthetic nasal proportions have played a significant role in rhinoplasty practice. On the other hand, psychological variables also play a crucial role in rhinoplasty. It is of paramount importance for facial plastic surgeons to consider both sides to achieve a more satisfactory outcome. The present study aimed to compare aesthetic nasal proportions between primary rhinoplasty candidates and a demographically matched control group to determine whether patients having rhinoplasty have different aesthetic nasal proportions compared with healthy adults who are not interested in rhinoplasty. Sixty patients having rhinoplasty were selected consecutively from a surgical clinic. A control group ( = 60) with the same demographic characteristics was selected. Photographs were taken using a digital camera on a fixed zoom setting. All images were captured at a distance of 1.5 m. Frontal and right lateral views were used to compare nasolabial angle, nasofrontal angle, nasofacial angle, alar width, intercanthal distance, nasal length, and width-to-length ratio. Independent tests were used for comparisons. Independent tests verified that nasofrontal angle, nasal length, and width-to-length ratio were significantly different between the two groups ( < 0.01). Effect sizes ranged between 0.11 and 0.69. Aesthetic proportions were not significantly different in four factors. Nasolabial angle, nasofacial angle, alar width, and intercanthal distance were not different ( > 0.05). Four major aesthetic nasal proportions were statistically similar in a group of patients having rhinoplasty and a control group with no interest in rhinoplasty. Surprisingly, the patients having rhinoplasty showed a mean width-to-length ratio closer to aesthetic ideal. Therefore, applying for rhinoplasty may have strong psychological reasons (e.g., body dysmorphic symptoms) compared with realistic aesthetic appraisals.
美观的鼻比例在隆鼻手术实践中发挥了重要作用。另一方面，心理变量在隆鼻手术中也起着关键作用。对面部整形外科医生来说，兼顾双方因素以获得更满意的结果至关重要。本研究旨在比较初次隆鼻手术候选人与人口统计学匹配的对照组之间的美观鼻比例，以确定进行隆鼻手术的患者与对隆鼻手术不感兴趣的健康成年人相比，其美观鼻比例是否不同。从一家外科诊所连续选取了60例进行隆鼻手术的患者。选取了具有相同人口统计学特征的对照组（n = 60）。使用数码相机在固定变焦设置下拍摄照片。所有图像均在1.5米的距离拍摄。使用正面和右侧视图来比较鼻唇角、鼻额角、鼻面角、鼻翼宽度、内眦间距、鼻长度和宽长比。采用独立t检验进行比较。独立t检验证实两组之间的鼻额角、鼻长度和宽长比存在显著差异（P < 0.01）。效应大小在0.11至0.69之间。四个因素的美观比例没有显著差异。鼻唇角、鼻面角、鼻翼宽度和内眦间距没有差异（P > 0.05）。一组进行隆鼻手术的患者和一组对隆鼻手术不感兴趣的对照组在四个主要美观鼻比例上在统计学上相似。令人惊讶的是，进行隆鼻手术的患者的平均宽长比更接近美观理想值。因此，与现实的美学评估相比，申请隆鼻手术可能有强烈的心理原因（例如，身体变形症状）。
