Wang X C, Deng Y W, Sun Y, Meng X X, Xiong X, Fang B R, Li X F, Yang K, Yan Q D, Tian Y
Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, China.
Rhinoplasty Research Center, the Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Feb 7;58(2):126-132. doi: 10.3760/cma.j.cn115330-20220305-00097.
To introduce a classification of alar retraction, and to discuss the therapeutic strategy of alar retraction with cartilage graft and the satisfaction evaluation of patients after operation. A retrospective analysis was performed on 88 patients with alar retraction admitted to the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University from January 2015 to December 2020, including 20 males and 68 females, aged 20 to 48 years, with an average age of 28.98 years. All patients underwent external rhinoplasty according to a series of treatment plans determined by the classification of alar retraction based on nostril exposure. Visual Analogue Scale (VAS) and Rhinoplasty Outcomes Evaluation (ROE) were used to conduct satisfaction survey before and 12 months after operation. Wilcoxon signed-rank test was used to analyze patient satisfaction. A total of 88 patients were included in this study. According to the classification of alar retraction based on nostril exposure, 45 cases were mild, 23 cases were moderate, and 20 cases were severe. There were 16 cases of unilateral and 72 cases of bilateral alar retraction. The patients were followed up for 12 to 18 months, with an average of 13.37 months. The VAS score and ROE score after each type of surgery were higher than those before surgery, with statistically significant (all <0.05). Among them, the difference in VAS score (6.75±1.29) and in ROE satisfaction (67.70±7.38) of patients with severe alar retraction were the most significant improvement. The classification of alar retraction based on nostril exposure in the frontal view can comprehensively evaluate the severity of alar retraction, and makes the treatment algorithms systematic and comprehensive. The satisfaction of patients is relatively high.
介绍鼻翼退缩的分类，探讨采用软骨移植治疗鼻翼退缩的策略及术后患者满意度评价。对2015年1月至2020年12月中南大学湘雅二医院整形美容（烧伤）外科收治的88例鼻翼退缩患者进行回顾性分析，其中男性20例，女性68例，年龄20～48岁，平均年龄28.98岁。所有患者均根据基于鼻孔暴露的鼻翼退缩分类所确定的一系列治疗方案行鼻整形术。采用视觉模拟评分法（VAS）和鼻整形术结果评估（ROE）在术前及术后12个月进行满意度调查。采用Wilcoxon符号秩检验分析患者满意度。本研究共纳入88例患者。根据基于鼻孔暴露的鼻翼退缩分类，轻度45例，中度23例，重度20例。单侧鼻翼退缩16例，双侧鼻翼退缩72例。患者随访12～18个月，平均13.37个月。各类型手术后VAS评分和ROE评分均高于术前，差异有统计学意义（均P<0.05）。其中重度鼻翼退缩患者VAS评分（6.75±1.29）及ROE满意度（67.70±7.38）改善最为显著。基于正面观鼻孔暴露的鼻翼退缩分类可全面评估鼻翼退缩的严重程度，使治疗方案系统化、全面化，患者满意度较高。
