Evaluation of Results and Patients’ Satisfaction of Alar Base Resection Surgery after Rhinoplasty Operations in 15 Khordad Hospital
Novelty in Biomedicine,
Vol. 7 No. 1 (2019),
14 January 2019
,
Page 10-12
https://doi.org/10.22037/nbm.v7i1.23111
Abstract
Background: Alar base surgery is one of the controversial issues in rhinoplasty. In this surgery the nasal base width and alar flaring is got smaller with some kind of procedures. One of these procedures is wedge resection of alar base. This procedure may accompany with either some dissatisfaction of scars and adverse effects or complications. In this study, we evaluate the patient satisfaction of scar and possible complications.Materials and Methods: A total of 120 rhinoplasty patients at 15 khordad hospital were candidates for alar base wedge resection due to broad nasal base and / or alar flaring who were chosen for this study. We recorded and examined these patients before and minimum 6 months after surgery, then evaluated these information and data, which finally, compared all the preoperation and postoperation findings.
Results: Mean age of patients was 30.11 years old. The full satisfaction of scar was 85.5% (103), but 6.7% (8) of patients had not satisfaction of scar due to visible scar in their alar facial groove. The rate of nostril symmetry satisfaction was 79.2% (95) and 8.3% (10) was dissatisfied due to nostril asymmetry. There was no external valve incompetency nor alar and sill notching in our study. There was not any narrowing of nostrils as well. The mean interalar distance preoperatively was 35.88 mm, which reduced to 32.61mm of mean diameter after surgery, (P-value = 0.000). Alar flaring correction was 88% (106) which was an acceptable consequence.
Conclusion: The results of present study showed that in spite of surgeons fear for scar and some common complications after alar base resection, the satisfaction rate of our patients in this study were high, and complications frequencies were low. Therefore, we advise that it is better and wiser to do this operation in indicated patients surely within primary rhinoplasty and do not postpone it to another surgery.- Alar base resection / Wedge excision / Alar flaring
How to Cite
References
Bernstein L. Esthetic anatomy of the nose. Laryngoscope.1972;82(7):1323–30.
D.R. Millard Jr.Alar margin sculpturing. Plast Reconstr Surg. 1967;40(4):337-42.
Becker DG, Weinberger MS, Greene BA, Tardy ME. Clinical study of alar anatomy and surgery of the alar base. Arch Otolaryngol Head Neck Surg. 1997;123(8):789-95.
Gruber R, Freeman B, Hsu C, et al. Nasal Base Reduction. Plastic and Reconstructive Surgery. 2009;123:716.
Kridel R, Castellano R. a Simplified Approach to Alar Base Reduction. Arch Facial Plast Surg. 2005;7:81.
McKinney PW, Mossie RD, Bailey MH. Calibrated alar base excision: a 20-year experience. Aesthetic Plast Surg. 1988;12(2):71-5.
Foda HMT. Nasal Base Narrowing: The Combined Alar Base Excision Technique. Arch Facial Plast Surgery. 2007; 9:30
Duron JB, Bardot J, Aiach G, Nguyen PS. Nostril Surgery. Ann Chir Plast Esthet. 2014;59(6):522-6.
Tardy ME, Patt BS, Walter MA. Alar reduction and sculpture: anatomic concepts. Facial Plast Surg. 1993;9:295-305.
Akeel A.k, Hiwa A.R, Ridha A.B. Outcomes and Complications of Alar-base Reduction. IOSR Journal of Dental and Medical Sciences. 2016;15(5):83-5
Ismail AS. Nasal Base Narrowing: The Alar Flap AdvancementTechnique. Otolaryngeal Head Neck Surg. 2011;144(1).
Ohba N,Ohba M.Aesthetic Plast Surg. 2016;40(5):680-4.
Kim JH, Park JP, Jang YJ. Aesthetic Outcome of Alar Base Resection in Asian Patients Undergoing Rhinoplasty. JAMA Facial Plast Surg. 2016;18(6):462-6.
Foda HM. Facial Plast Surg. 2016;32(4):331-2.
- Abstract Viewed: 367 times
- PDF Downloaded: 246 times