Nasal Deviation and Facial Asymmetry in Patients Undergoing Rhinoplasty.

IF 3 2区医学 Q1 SURGERY

Aesthetic Surgery Journal Pub Date : 2024-10-15 DOI:10.1093/asj/sjae125

Brian L Scott, Steven Pearlman

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引用次数: 0

Abstract

Background: The existing literature is conflicted on whether nasal deviation is primarily attributable to trauma or the result of asymmetric facial development.

Objectives: The aim of this study was to establish the prevalence of nasal trauma and facial asymmetry in patients undergoing rhinoplasty, and to determine if a correlation exists between the laterality of facial asymmetry and nasal deviation.

Methods: A retrospective review was undertaken of patients who had undergone primary rhinoplasty with the senior author over a 12-month period. Patient charts were reviewed and clinical photographs were analyzed.

Results: In total, 144 patients underwent rhinoplasty over the study period; 68 patients underwent revision rhinoplasty and were excluded. Of the 76 patients who underwent primary rhinoplasty, 9% reported prior nasal trauma, 68% had deviated nasal bones, 46% had deviated nasal tips, 70% had asymmetric midfaces, and 36% had deviated chins. In patients without prior trauma history, nasal bones were most commonly deviated towards the side of midface hypoplasia (53%, P = .008). The nasal tip was most commonly deviated contralateral to the side of septal deviation (59%, P = .001). There was no association between nasal bone and chin deviation. Nasal tip deviation was not associated with midface hypoplasia or chin deviation.

Conclusions: Nasal deviation is primarily driven by asymmetric facial growth rather than being the result of nasal trauma.

Level of evidence: 3:

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鼻整形手术患者的鼻孔偏斜和面部不对称。

背景：现有文献在鼻偏斜主要归因于外伤还是面部发育不对称的问题上存在冲突：确定接受鼻整形手术的患者中鼻部外伤和面部不对称的发生率。确定面部不对称与鼻偏斜之间是否存在相关性：方法：对资深作者在 12 个月内接受初级鼻整形手术的患者进行回顾性研究。结果：144 名患者接受了鼻整形手术：研究期间，144 名患者接受了鼻整形手术。结果：研究期间有 144 名患者接受了鼻整形手术，其中 68 名患者接受了翻修鼻整形手术，被排除在外。在接受初次鼻整形手术的 76 名患者中，9% 的人曾有鼻部外伤史，68% 的人鼻骨偏斜，46% 的人鼻尖偏斜，70% 的人鼻中面不对称，36% 的人下巴偏斜。在无外伤史的患者中，鼻骨偏向中面部发育不良一侧的情况最为常见（53%，P=0.008）。鼻尖最常偏向鼻中隔偏曲的对侧（59%，P=0.001）。鼻骨和下巴偏斜之间没有关联。鼻尖偏斜与中面部发育不良或下巴偏斜无关：结论：鼻尖偏斜主要是面部发育不对称造成的，而不是鼻部创伤的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Surgery Journal SURGERY-

CiteScore

6.20

自引率

20.70%

发文量

309

审稿时长

6-12 weeks

期刊介绍： Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.