Lee Hyun Su, Kwon Dong Hwan, Kim Minheon, Lee Jae Woo, Park Dong-Joon, Lee Young-Ha, Lee Eun Jung
Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Yonsei University Wonju College of Medicine, Wonju, South Korea.
Oral Maxillofac Surg. 2025 Mar 20;29(1):69. doi: 10.1007/s10006-025-01368-w.
Since aging leads to changes in facial angles, the effect of age on impressions of facial appearance involves factors such as face shape, eye color, nose size and placement, and mouth size and placement, as well as skin morphological and tonal characteristics, including wrinkles, spots, and sagging. Identifying the extent of change in facial angles can aid surgeons in interpreting facial landmarks before nasal surgery. Hence, this study evaluated changes in facial angles at different positions in a cohort of older Asian patients.
This study enrolled 47 patients admitted for nasal surgeries, including 33 men (70.2%) and 14 women (29.8%). The average age was 48.15 ± 18.7. Nasolabial, nasofrontal, nasomental, and nasofacial angles were measured in the sitting, supine, and neck extension positions. Patients were divided into two groups: younger (≤ 60 years, n = 28) and older (> 60 years, n = 19) to evaluate the effect of age on facial angles.
The supine-extension nasofacial (p = 0.031) and nasomental (p = 0.023) angles decreased with age. Concurrently, nasolabial angles increased with age in the sitting-supine position (p = 0.012) and sitting-extension positions (p = 0.019). Additionally, the analysis of variance and regression model demonstrated a decrease of 0.019°/year in nasofacial angle between the supine and neck extension positions, whereas the nasomental angle between these positions declined by 0.032°/year. In contrast, between the sitting and supine postures and the sitting and extension positions, the absolute difference in nasolabial angles increased (0.140°/year and 0.128°/year).
This preliminary study showed that facial angle characteristics changed more between different postures in the older age group; thus, clinicians should exercise caution when performing aesthetic nasal procedures in older patients.
由于衰老会导致面部角度发生变化，年龄对面部外观印象的影响涉及多种因素，如脸型、眼睛颜色、鼻子大小和位置、嘴巴大小和位置，以及皮肤形态和色调特征，包括皱纹、斑点和松弛。确定面部角度的变化程度有助于外科医生在鼻手术前解读面部标志。因此，本研究评估了一组老年亚洲患者不同位置的面部角度变化。
本研究纳入了47例因鼻手术入院的患者，其中男性33例（70.2%），女性14例（29.8%）。平均年龄为48.15±18.7岁。在坐姿、仰卧位和颈部伸展位测量鼻唇角、鼻额角、鼻颏角和鼻面角。患者分为两组：较年轻组（≤60岁，n = 28）和较年长组（>60岁，n = 19），以评估年龄对面部角度的影响。
仰卧伸展位的鼻面角（p = 0.031）和鼻颏角（p = 0.023）随年龄增长而减小。同时，在坐姿 - 仰卧位（p = 0.012）和坐姿 - 伸展位（p = 0.019），鼻唇角随年龄增长而增大。此外，方差分析和回归模型显示，仰卧位和颈部伸展位之间鼻面角每年减小0.019°，而这两个位置之间的鼻颏角每年下降0.032°。相比之下，在坐姿与仰卧位以及坐姿与伸展位之间，鼻唇角的绝对差值增加（分别为0.140°/年和0.128°/年）。
这项初步研究表明，老年组不同姿势之间面部角度特征变化更大；因此，临床医生在为老年患者进行鼻美容手术时应谨慎行事。
