Department of Otorhinolaryngology-Head and Neck Surgery, Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea.
Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Gyeonggi, Republic of Korea.
Aesthetic Plast Surg. 2021 Dec;45(6):2860-2866. doi: 10.1007/s00266-021-02322-3. Epub 2021 May 17.
Frequently, a tilted alar base characterized by a discrepant level of the nostril sill and alar insertion on both sides is encountered in patients seeking rhinoplasty. Herein, we report our surgical technique and outcome of alar lifting technique for correcting tilted alar base.
The medical records of 18 patients with alar base asymmetry who underwent rhinoplasty using the alar lift technique between January 2014 and December 2019 were retrospectively reviewed. The alar lifting procedure included a pointed ellipse-shaped excision of vestibular skin just inside the nostril sill, and sutures using 5-0 monocryl. Surgical outcomes were determined on the frontal view of facial images by comparing pre- and postoperative angles formed by a line drawn parallel to the lowermost part of both pupils and a line connecting the lowermost part of the base of the ala.
Of 18 patients, 12 (66.7%) were men, and 6 (33.3%) were women. The mean age was 31.8 years (range 16-55). The alar lifting technique was performed on the left side in 12 cases and on the right side in 6 cases, and concurrent tip plasty was performed in 15 (83.3%) cases. The mean alar tilt angle was 3.9 preoperatively and 2.0 postoperatively. The mean angle change was 1.9°. Sixteen (88.9%) out of 18 patients had decreased alar level discrepancy. No patient had complications.
Our alar lifting technique can serve as a useful adjunctive technique in rhinoplasty in patients with a tilted ala.
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在寻求鼻整形术的患者中，经常会遇到双侧鼻翼基底倾斜的情况，其特征为鼻翼缘脚水平和鼻翼附着点位置不一致。在此，我们报告我们使用鼻翼提升技术矫正鼻翼基底倾斜的手术技术和结果。
回顾性分析 2014 年 1 月至 2019 年 12 月期间，18 例因鼻翼基底不对称而行鼻整形术并采用鼻翼提升技术的患者的病历。鼻翼提升术包括在鼻翼缘脚内侧作一个尖锐的椭圆形的前庭皮肤切除，用 5-0 单丝缝线缝合。通过比较平行于两个瞳孔最下点画出的线和连接鼻翼基部最下点的线所形成的角度，在面部图像的正面视图上确定手术结果。
18 例患者中，男 12 例（66.7%），女 6 例（33.3%）；平均年龄 31.8 岁（16-55 岁）；12 例患者行左侧鼻翼提升术，6 例患者行右侧鼻翼提升术，15 例（83.3%）患者同期行鼻尖成形术；术前鼻翼倾斜角度平均为 3.9°，术后平均为 2.0°；平均角度变化为 1.9°。18 例患者中有 16 例（88.9%）鼻翼水平差异减小。无患者发生并发症。
我们的鼻翼提升技术可作为鼻翼倾斜患者鼻整形术的一种有用的辅助技术。
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