Correction of lateral type alar retraction with lateral crural strut graft and intercartilaginous graft
10.3760/cma.j.cn114453-20210919-00390
- VernacularTitle:应用外侧脚支撑移植物及软骨间推进移植物矫正外侧型鼻翼退缩
- Author:
Zhiwei LIANG
1
;
Fanglin ZENG
;
Huhu YANG
;
Xinwei WANG
Author Information
1. 深圳美莱医疗美容医院美容外科，深圳 518000
- Keywords:
Rhinoplasty;
Lateral type alar retraction;
Intercartilaginous graft;
Lateral crural strut graft
- From:
Chinese Journal of Plastic Surgery
2022;38(7):744-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the surgical method and clinical effect of correcting lateral type alar retraction with intercartilaginous graft and lateral crural strut graft.Methods:A retrospective study was performed on the data of patients with moderate to severe lateral alar retraction treated in Shenzhen Mylike Medical Plastic Aesthetic Hospital from October 2018 to June 2020. During the operation, lower lateral cartilages was totally dissected and strengthened by lateral crural strut graft while scroll area was released and lengthened with intercartilaginous graft to correct lateral type alar retraction. The preoperative and postoperative distance from the nostril’s long axis to the alar rim was measured from the side view, the nasal measurements were expressed as Mean±SD, and paired t-test was used for statistical analysis. Results:A total of 32 patients were enrolled, including 5 males and 27 females, with an average age of 31 years (18-47 years). Twenty-three cases underwent primary rhinoplasty and 9 cases underwent second rhinoplasty. The preoperative data of distance from the nostril’s long axis to the alar rim was (4.1±0.5) mm (3.2-5.0 mm). The postoperative effect of nasal alar retraction defomity correction was obvious. After a follow-up period of 20 cases from 6 to 18 months, the distance from the nostril’s long axis to the alar rim was 1.5-2.8 mm [(2.1±0.3) mm on average]. Comparison of preoperative and postoperative measured values showed statistically significant difference ( P<0.01). There was 1 patient emerged complication alar flaring, and no contracture and deformation of the nasal rim occurred. All of patients were satisfied. Conclusions:The intercartilaginous graft combined with lateral crural strut graft is an effective new method for correction of lateral type alar retraction. It has stable clinical effect and high satisfaction.
