Lyrio Tiago, Maricevich Pablo, Andrade Alexei A, De Bacco Felipe Webber, Tamanqueira Paula
From V Clinic, Rio de Janeiro, Brazil.
AVIVA Cirurgia Plástica, Recife, Pernambuco, Brazil.
Plast Reconstr Surg Glob Open. 2024 Mar 20;12(3):e5686. doi: 10.1097/GOX.0000000000005686. eCollection 2024 Mar.
The articulated alar rim graft (AARG) proposed by Davis is a simple and effective method for avoiding and correcting most alar rim deformities in rhinoplasty. In addition to its benefit for the nasal ala, the position suggested herein allows for a precise definition of the facet polygon and infratip lobule. A retrospective series of 317 patients surgically treated with the modified AARG positioning were evaluated. The height of the septal extension graft was always a few millimeters above the new dome, without demanding excessive lateral crural tensioning (LCT), and the AARG itself was fixed more on the facet polygon and infratip than in the standard procedure. The results were favorable after 1 year of follow-up. The proposed AARG modification yielded good nasal tip projection and definition without excess LCT, enhanced the facet polygon and supra-alar sulcus, and stretched the skin downward. Functional gain was reported by most patients. Few minor and common complications were reported. The use of this modified AARG position can avoid and correct most alar deformities, with the added benefit of providing better control over tip definition without the need for excessive LCT or overprojection of the nose.
戴维斯提出的关节式鼻翼缘移植术（AARG）是一种简单有效的方法，可避免和矫正鼻整形术中的大多数鼻翼缘畸形。除了对鼻翼有益外，本文建议的位置还能精确界定小面多边形和鼻尖小叶。对317例行改良AARG定位手术治疗的患者进行了回顾性研究。鼻中隔延伸移植片的高度始终比新的鼻尖圆顶高几毫米，无需过度外侧脚张力（LCT），并且AARG本身在小面多边形和鼻尖处的固定比标准手术更多。随访1年后结果良好。所提议的AARG改良术在不过度LCT的情况下产生了良好的鼻尖突出度和清晰度，增强了小面多边形和鼻翼上沟，并向下拉伸了皮肤。大多数患者报告有功能改善。报告的轻微常见并发症很少。使用这种改良的AARG位置可以避免和矫正大多数鼻翼畸形，还能在无需过度LCT或鼻尖过度突出的情况下更好地控制鼻尖清晰度。
