Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital, Central South University, 139 Furong Road, Changsha, 410011, Hunan, China.
Aesthetic Plast Surg. 2024 Mar;48(5):855-861. doi: 10.1007/s00266-023-03396-x. Epub 2023 May 31.
An accurate diagnosis and an appropriate treatment are important parts of successful rhinoplasty. We proposed a new definition for alar flares to guide our clinical work.
A retrospective study was conducted on patients with alar flares from July 2017 to July 2021, and the follow-up time ranged from 12 to 27 months, mean of 16 months. We defined the alar flare angle by the formation of two lines: the line that connects the alar to the alar root point and line that connects the alar to the pronasale. The alar flare angle, interalar distance and nasal base width were measured, and alar wedge excision or alar base excision and tip elevation were performed. Scars, complications and satisfaction scales were evaluated after surgery. Through an analysis of the database, we found that the ideal alar flare angle was between 130 degrees and 140 degrees. If it was less than 130 degrees, it represented alar flares, and patients asked for alar surgery.
A total of 33 patients were included. All patients underwent tip elevation, 12 patients underwent external alar wedge excision, and 5 patients underwent external alar wedge excision and alar base excision. External alar wedge excision can be used to completely correct alar flares, and in our study, the alar flare angles were more than 130 degrees after surgery. One patient complained of an acceptable scar, and there was no infection or alar deformity. All patients were satisfied.
We proposed a new definition in which an alar flare angle less than 130 degrees can be diagnosed as an alar flare. This new definition is valuable for the clinical diagnosis and treatment of alar flares.
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准确的诊断和适当的治疗是成功鼻整形术的重要组成部分。我们提出了一个新的鼻翼外展定义来指导我们的临床工作。
回顾性研究了 2017 年 7 月至 2021 年 7 月期间鼻翼外展的患者，随访时间为 12 至 27 个月，平均为 16 个月。我们通过连接鼻翼与鼻翼根部的线和连接鼻翼与鼻尖的线来定义鼻翼外展角度。测量鼻翼外展角度、鼻翼间距和鼻基底宽度，并进行鼻翼楔形切除或鼻翼基底切除和鼻尖抬高术。术后评估疤痕、并发症和满意度评分。通过数据库分析，我们发现理想的鼻翼外展角度在 130 度至 140 度之间。如果小于 130 度，则表示鼻翼外展，患者要求进行鼻翼手术。
共纳入 33 例患者。所有患者均行鼻尖抬高术，12 例行鼻翼外楔形切除术，5 例行鼻翼外楔形切除术和鼻翼基底切除术。鼻翼外楔形切除术可完全矫正鼻翼外展，本研究术后鼻翼外展角度均大于 130 度。1 例患者对可接受的疤痕表示抱怨，无感染或鼻翼畸形。所有患者均满意。
我们提出了一个新的定义，即小于 130 度的鼻翼外展角度可诊断为鼻翼外展。这个新的定义对于鼻翼外展的临床诊断和治疗具有重要价值。
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