Alar Rim Deformities in Korean Primary Rhinoplasty Patients

Background and Objectives The alar-columellar relationship plays an important role in the esthetic balance of the nose. We analyzed alar rim deformities and aesthetic concerns and expectations among patients by deformity type in Korean primary rhinoplasty patients. Materials and Methods Retrospectiv...

Full description

Bibliographic Details
Main Authors: Su Jin Kim, Ho Yun Lee, Tae Hyun Kim, Tae Hoon Kim, Kun Hee Lee
Format: Article
Language:English
Published: Korean Rhinologic Society 2021-11-01
Series:Journal of Rhinology
Subjects:
Online Access:http://www.j-rhinology.org/upload/pdf/jr-2021-00365.pdf
_version_ 1818461473320468480
author Su Jin Kim
Ho Yun Lee
Tae Hyun Kim
Tae Hoon Kim
Kun Hee Lee
author_facet Su Jin Kim
Ho Yun Lee
Tae Hyun Kim
Tae Hoon Kim
Kun Hee Lee
author_sort Su Jin Kim
collection DOAJ
description Background and Objectives The alar-columellar relationship plays an important role in the esthetic balance of the nose. We analyzed alar rim deformities and aesthetic concerns and expectations among patients by deformity type in Korean primary rhinoplasty patients. Materials and Methods Retrospective photographic analysis was done on 336 patients planning to undergo primary rhinoplasty at Kyung Hee University Hospital at Gangdong. We categorized their alar rim deformities as normal, hanging columella, retracted columella, hanging ala, retracted ala, convex ala, concave ala, thick ala, and a combination of the above. Patients’ aesthetic concerns and expectations about their nose were analyzed by preoperative questionnaire. Results Of the enrolled patients, 38 (11.3%) had no alar rim deformities, and the other 298 patients (88.7%) had one or more deformities. The most prevalent alar rim deformity was hanging ala (59.2%), followed by convex ala (53.3%) and thick ala (32.1%). Male patients were more likely to have convex ala and retracted columella than female patients. More than one-half of the patients (64.1%) had two or more deformities and tended to be young (p=0.028). Patients with thick ala had several reasons for being dissatisfied with their nose and various demands for correction. Conclusion Distinctive characteristics of alar rim deformities should be considered in surgical planning in order to obtain satisfactory results in Korean primary rhinoplasty patients.
first_indexed 2024-12-14T23:46:42Z
format Article
id doaj.art-fd5ed0ba21e3489799498c53e031493b
institution Directory Open Access Journal
issn 2384-4361
language English
last_indexed 2024-12-14T23:46:42Z
publishDate 2021-11-01
publisher Korean Rhinologic Society
record_format Article
series Journal of Rhinology
spelling doaj.art-fd5ed0ba21e3489799498c53e031493b2022-12-21T22:43:22ZengKorean Rhinologic SocietyJournal of Rhinology2384-43612021-11-0128315315710.18787/jr.2021.00365730Alar Rim Deformities in Korean Primary Rhinoplasty PatientsSu Jin Kim0Ho Yun Lee1Tae Hyun Kim2Tae Hoon Kim3Kun Hee Lee4 Department of Otorhinolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University College of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of KoreaBackground and Objectives The alar-columellar relationship plays an important role in the esthetic balance of the nose. We analyzed alar rim deformities and aesthetic concerns and expectations among patients by deformity type in Korean primary rhinoplasty patients. Materials and Methods Retrospective photographic analysis was done on 336 patients planning to undergo primary rhinoplasty at Kyung Hee University Hospital at Gangdong. We categorized their alar rim deformities as normal, hanging columella, retracted columella, hanging ala, retracted ala, convex ala, concave ala, thick ala, and a combination of the above. Patients’ aesthetic concerns and expectations about their nose were analyzed by preoperative questionnaire. Results Of the enrolled patients, 38 (11.3%) had no alar rim deformities, and the other 298 patients (88.7%) had one or more deformities. The most prevalent alar rim deformity was hanging ala (59.2%), followed by convex ala (53.3%) and thick ala (32.1%). Male patients were more likely to have convex ala and retracted columella than female patients. More than one-half of the patients (64.1%) had two or more deformities and tended to be young (p=0.028). Patients with thick ala had several reasons for being dissatisfied with their nose and various demands for correction. Conclusion Distinctive characteristics of alar rim deformities should be considered in surgical planning in order to obtain satisfactory results in Korean primary rhinoplasty patients.http://www.j-rhinology.org/upload/pdf/jr-2021-00365.pdfrhinoplastydeformitiesphotography
spellingShingle Su Jin Kim
Ho Yun Lee
Tae Hyun Kim
Tae Hoon Kim
Kun Hee Lee
Alar Rim Deformities in Korean Primary Rhinoplasty Patients
Journal of Rhinology
rhinoplasty
deformities
photography
title Alar Rim Deformities in Korean Primary Rhinoplasty Patients
title_full Alar Rim Deformities in Korean Primary Rhinoplasty Patients
title_fullStr Alar Rim Deformities in Korean Primary Rhinoplasty Patients
title_full_unstemmed Alar Rim Deformities in Korean Primary Rhinoplasty Patients
title_short Alar Rim Deformities in Korean Primary Rhinoplasty Patients
title_sort alar rim deformities in korean primary rhinoplasty patients
topic rhinoplasty
deformities
photography
url http://www.j-rhinology.org/upload/pdf/jr-2021-00365.pdf
work_keys_str_mv AT sujinkim alarrimdeformitiesinkoreanprimaryrhinoplastypatients
AT hoyunlee alarrimdeformitiesinkoreanprimaryrhinoplastypatients
AT taehyunkim alarrimdeformitiesinkoreanprimaryrhinoplastypatients
AT taehoonkim alarrimdeformitiesinkoreanprimaryrhinoplastypatients
AT kunheelee alarrimdeformitiesinkoreanprimaryrhinoplastypatients