Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1S):101337. doi: 10.1016/j.jormas.2022.11.013. Epub 2022 Nov 17.
Alar retraction is considered a challenge in rhinoplasty. The classification of alar retraction remains poorly defined, especially in Asia. Patients with alar retraction are associated with excessive exposure to the nostrils in Asia. This study aimed to introduce a classification method of alar retraction based on nostril exposure.
Medical records of patients who had undergone rhinoplasty with alar retraction based on nostril exposure between January 2015 and December 2020 were retrospectively reviewed. The corrections of alar retraction were categorized into three groups according to a classification method of alar retraction based on nostril exposure: mild alar retraction, moderate alar retraction, and severe alar retraction. The visual analog scale (VAS) and rhinoplasty outcomes evaluation (ROE) were used to evaluate the satisfaction rate.
Within a median period of 13.3 months, 45 patients (51.14%) with mild alar retraction were corrected by alar contour graft. 23 patients (26.14%) with moderate alar retraction were treated with the alar contour graft(n=10), the lateral crural strut graft (n = 6), and the alar projection graft (n = 7). 20 patients (22.73%) with severe alar retraction were corrected by lateral crural strut graft combined with composite graft (n = 6), lateral crural strut graft (n = 10), and composite graft (n = 4). The severe alar retraction group had a higher satisfaction rate in ROE(P<0.05) and VAS (P<0.05) than moderate alar retraction and mild alar retraction at a follow-up of 12 months after surgery.
The classification of alar retraction based on nostril exposure is more practical for rhinoplasty in Asia.
鼻翼退缩被认为是鼻整形术的一个挑战。鼻翼退缩的分类仍然定义不明确，尤其是在亚洲。鼻翼退缩的患者与亚洲人过度暴露鼻孔有关。本研究旨在介绍一种基于鼻孔暴露的鼻翼退缩分类方法。
回顾性分析 2015 年 1 月至 2020 年 12 月期间因基于鼻孔暴露的鼻翼退缩而行鼻整形术的患者的病历。根据基于鼻孔暴露的鼻翼退缩分类方法，将鼻翼退缩的矫正分为三组：轻度鼻翼退缩、中度鼻翼退缩和重度鼻翼退缩。使用视觉模拟量表（VAS）和鼻整形术结果评估（ROE）来评估满意度。
在中位数为 13.3 个月的时间内，45 例（51.14%）轻度鼻翼退缩患者通过鼻翼轮廓移植物矫正。23 例（26.14%）中度鼻翼退缩患者采用鼻翼轮廓移植物（n=10）、外侧脚支柱移植物（n=6）和鼻翼突出移植物（n=7）治疗。20 例（22.73%）重度鼻翼退缩患者采用外侧脚支柱移植物联合复合移植物（n=6）、外侧脚支柱移植物（n=10）和复合移植物（n=4）矫正。在手术后 12 个月的随访中，重度鼻翼退缩组在 ROE（P<0.05）和 VAS（P<0.05）方面的满意度均高于中度鼻翼退缩和轻度鼻翼退缩。
基于鼻孔暴露的鼻翼退缩分类方法对于亚洲的鼻整形术更为实用。
