Correction of Short Nose

Jung, Dong Hak; Jin, Sang Gyun; Hyun, Sang Min

doi:10.1016/j.fsc.2018.03.011

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…Interestingly, most of the significant correlations were associated with these particular aspects. FACE-Q nose and nostrils scales showed significant correlations to the 3D alar width, columella angle, and columellar-labial angle parameters for both patient cohorts, which clinically represent wider nasal base, short nose, and tip up-rotation with the nostrils shown on frontal view 15,29,[36][37][38] . However, it only presented low correlation coefficients, suggesting that the tested measure tools are only marginally connected and other potential explanatory factors were involved in this outcome measurement process.…”

Section: Discussionmentioning

confidence: 88%

“…Unlike anatomical norms for Caucasian noses, Asians exhibit a flatter dorsum, a wider alar width, and a short nose in which there is much upward tilt of the nasal tip along with an increased nostril exposure 15,29,34,35 . Accordingly, Asians frequently request surgery to correct their typical, but not fully acceptable nose [36][37][38] . Moreover, surgical maneuvers have been performed to attenuate these specific nasal changes following skeletofacial reconstruction, including the overcorrected alar cinch suture 41 .…”

Section: Discussionmentioning

confidence: 99%

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Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

Denadai

Chou

Seo

et al. 2020

Sci Rep

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Patient satisfaction with the shape and appearance of their nose after orthognathic surgery-based skeletofacial reconstruction is an important, but often overlooked, outcome. We assessed the nose-related outcomes through a recently developed patient-reported outcome instrument and a widely adopted 3D computer-based objective outcome instrument, to verify any correlation in the results produced by these tools. We collected FACE-Q nose appearance reports (2 scales) and 3D nasal morphometry (10 parameters) from patients with class III skeletal pattern and congenital cleft lip palate deformity (n = 23) or developmental dentofacial deformity (n = 23) after (>12 months) skeletofacial reconstruction. The cleft and dentofacial cohorts demonstrated significantly (p < 0.001) poorer satisfaction scores with regard to the FACE-Q nostrils scale than the normal age-, gender-, and ethnicity-matched subjects (n = 107), without any significant difference in FACE-Q nose scale. The cleft cohort had significantly (p < 0.001) smaller nasal length, nasal tip projection, and columellar angle and greater nasal protrusion, alar width, and columellar-labial angle values than the dentofacial and normal cohorts; however, there were no significant differences between the dentofacial versus normal cohorts. The FACE-Q nose and nostrils scales were significantly (p < 0.001; r = −0.26-0.27) correlated to the results of the 3D morphometric analysis, with regard to nasal length, alar width, columella angle, and columellar-labial angle parameters. This study revealed differences in satisfaction with the appearance of the nose according to the type of underlying deformity, and demonstrated a significant correlation (low correlation coefficients) between the patient-reports and 3D image-based outcome measure tools, which has implications for multidisciplinary-centered research, auditing, and clinical care. Facial deformities associated with abnormal maxillo-mandibular relationships, such as congenital cleft lip and palate and developmental dentofacial deformities, significantly affect oral function and facial aesthetics 1,2. Skeletofacial reconstruction using orthognathic surgery principle is a successful treatment modality for these abnormalities 3-5. However, a number of post-surgical facial modifications are the primary causes of concern among the patients, particularly changes in the nasal morphology 6. A growing number of studies have addressed this issue by adopting three-dimensional (3D) nasal measurements 6-15 , but the effects of skeletofacial reconstruction are beyond these imaging-guided outcome metrics 1,4,5. The patient satisfaction with the appearance of their nose is an important, albeit often overlooked, outcome parameter after orthognathic surgery. Therefore, including a patient's self-perception by employing patient-reported outcome (PRO) techniques may help clinicians to understand the health-related concerns of the patient 16,17. Literature reviews 4,5 have revealed that a plethora of PRO instruments have been utilized to primaril...

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

Denadai

Chou

Seo

et al. 2020

Sci Rep

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“…In the past, simple augmentation of the dorsum using an implant has been widely operated and reported; with the improvement of esthetic cognition, recent literature studies show that this procedure will result in disharmony of the nasal base, leading to visible nostrils, a longer supratip lobule, and shorter columella (10)(11)(12). Accordingly, it is commonly believed that Asians need to augment and elongate the nose simultaneously to achieve satisfying augmentation rhinoplasty (13).…”

Section: Discussionmentioning

confidence: 99%

Trends of rhinoplasty research in the last decade with bibliometric analysis

Zhu

Zhang²,

Huang³

2023

Front. Surg.

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BackgroundAs rhinoplasty (RP) with different requirements is becoming more and more popular in the latest decade, this study aims to quantitatively and qualitatively explore the trends in RP research, depict research hotspots, and point out the future direction with a bibliometric analysis.MethodsAll RP literature studies in the last decade (from 2012 to 2021) were retrieved from the Web of Science Core database. Annual output, institutions, authors, journals, and most-cited literature studies were analyzed by bibliometric tools, including CiteSpace, bibliometric online platform, bibliometrix R language kit, BICOMB, and gCLUTO.ResultsA total of 2,590 RP research studies dated between 2012 and 2021 were included according to our criterion. As for the country, the United States, Turkey, and Korea maintained the top three in RP research. As for the institutions, the University of California, Irvine, Stanford University, and University of Ulsan ranked top three in RP research publications based on article counts. Professor Rhorich RJ, Most SP, and Jang YJ were the most contributed authors according to article counts and citation number. The top journals were The Plastic and Reconstructive Surgery, JAMA Facial Plastic Surgery, and Aesthetic Surgery Journal. The 10 most-cited literature studies were also listed explicitly in this study. Finally, biclustering analysis on the most frequent keywords were conducted which helped us to identify seven hotspot clusters in RP research.ConclusionsWe comprehensively summarized the publication information of RP literature studies in the past decade, highlighted the current status and trends over time, and provide guidance for in-depth research direction on RP for the future.

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“…18 In this study, we addressed the nasal tip rotation because it has a clear relevance in Asian society. [15][16][17] In this setting, a well-delineated investigation revealed that Le Fort I maxillary advancement with pitch clockwise or counterclockwise rotational movement (i.e., occlusal plane change) did not have a significant influence on the angle of the nasal tip rotation. 36 However, maxillary setback movement was not included, and the actual postoperative three-dimensional location of the osteotomized maxillary segment compared with the preoperative location was not considered.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14] Unlike Caucasian noses, anatomical norms for Asian noses are a flatter dorsum, wider alar width, and short nose, in which a considerable upward tilt of the nasal tip is present along with an increased nostril exposure. [15][16][17] This upward nasal rotation with nostril exposure is associated with poor appearance [15][16][17] because such a feature is believed to produce financial misfortunes in Asian cultures. This particular nasal feature is deprecatingly called the "piggy" nose distortion, reinforcing the cultural and psychosocial impact of nasal appearance among Asian people.…”

mentioning

confidence: 99%

Effect of Le Fort I Maxillary Repositioning on Three-Dimensional Nasal Tip Rotation: A Comparative Study with Implication for the Asian Nose

Denadai

Chou

Yao

et al. 2021

Plastic &Amp; Reconstructive Surgery

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evelopmental dentofacial deformity, characterized by an abnormal skeletal relationship between the maxilla and mandible, affects facial appearance, oral function, and psychological well-being of many patients. [1][2][3][4] Orthognathic surgery is considered the main therapeutic approach for these deformities because it achieves a balanced functional (occlusal and psychosocial) and aesthetic (harmonious facial appearance) result. [5][6][7] However, the orthognathic surgery can also result in nasal morphologic changes, which

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Correction of Short Nose

Cited by 7 publications

References 18 publications

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

Trends of rhinoplasty research in the last decade with bibliometric analysis

Effect of Le Fort I Maxillary Repositioning on Three-Dimensional Nasal Tip Rotation: A Comparative Study with Implication for the Asian Nose

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