鼻翼缘退缩的分类以及临床治疗进展
Classification of the Nostril Alar Rim Retraction and Progress in Clinical Treatment
摘要: 鼻翼缘退缩是一种临床常见的鼻部畸形，从外观上看，这种异常表现会使得鼻翼缘呈现上移的态势，同时鼻前庭的皮肤也会过多地暴露出来，打破了鼻部整体的和谐与美感。不仅从外观上给患者造成了影响，而且在心理上也会对患者产生负面的影响，鼻翼缘退缩产生的原因以及目前的治疗方式有所不同，本文综述了对鼻翼缘退缩的病因，分类和矫正鼻翼缘退缩手术方法，从而进一步提高临床鼻整形医生对鼻翼缘退缩畸形的认识。
Abstract: The nostril alar rim retraction is a common clinical deformity of the nose. From the appearance, this abnormal performance will make the alar rim of the nose show an upward trend, and the skin of the nasal vestibule will also be exposed too much, breaking the overall harmony and beauty of the nose. It not only affects patients from the appearance, but also has a negative impact on patients psychologically. The causes of the nostril alar rim retraction and the current treatment methods are different. This paper reviews the etiology, classification and surgical methods for correcting the nostril alar rim retraction, so as to further improve the understanding of clinical rhinoplastic surgeons on the nostril alar rim retraction deformity.
文章引用：郝亚宁. 鼻翼缘退缩的分类以及临床治疗进展[J]. 临床医学进展, 2025, 15(6): 1141-1148. https://doi.org/10.12677/acm.2025.1561835

参考文献

[1] Zheng, R., Wang, X., Wang, H., You, J., Xu, Y., Zhang, X., et al. (2023) Improvement of Nasal Dorsal Onlay Graft Appearance after Augmentation Rhinoplasty with Costal Cartilage for Thin-Skinned Patients. Aesthetic Plastic Surgery, 47, 330-335. [Google Scholar] [CrossRef] [PubMed]
[2] Friedman, O., Ulloa, F.L. and Kern, E.B. (2021) Preservation Rhinoplasty: The Endonasal Cottle Push-Down/Let-Down Approach. Facial Plastic Surgery Clinics of North America, 29, 67-75. [Google Scholar] [CrossRef] [PubMed]
[3] (美)罗德·J.勒里希, Jamil Ahmad. 达拉斯鼻修复术: 全球大师的杰作[M]. 李战强, 译. 北京: 北京人民卫生出版社, 2017.
[4] Marianetti, T.M. and Moretti, A. (2020) Correction of Alar Rim Retraction by Lateral Crural Extension Graft. Acta Otorhinolaryngologica Italica, 40, 211-216. [Google Scholar] [CrossRef] [PubMed]
[5] Cho, B.C., Park, T.H., Ryu, J.Y., Lee, J.S., Choi, K.Y., Yang, J.D., et al. (2021) Correction of Severe Secondary Cleft Lip Nasal Deformity. Journal of Craniofacial Surgery, 33, 404-408. [Google Scholar] [CrossRef] [PubMed]
[6] 王先成, 邓毅文. 基于鼻孔暴露度鼻翼退缩分型的外鼻整形术[J]. 中华耳鼻喉头颈外科杂志, 2023, 58(2): 126-132.
[7] Park, H., Kim, H., Hwang, Y. and Park, S. (2024) Poly Lactic-Co-Glycolic Acid Absorbable Plate Graft for Secondary Rhinoplasty in Asian Patients with Unilateral Cleft Lip Nose Deformity. The Cleft Palate Craniofacial Journal, 61, 592-598. [Google Scholar] [CrossRef] [PubMed]
[8] Kemal, Ö., Tahir, E., Kavaz, E. and Karabulut, H. (2022) Impact of Functional and Aesthetic Factors on Patient Satisfaction in Septorhinoplasty. Turkish Archives of Otorhinolaryngology, 60, 36-41. [Google Scholar] [CrossRef] [PubMed]
[9] Lee, J., Rossi-Meyer, M.K., Yang, S.F., Stephan, S.J. and Patel, P.N. (2025) Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty. Otolaryngologic Clinics of North America, 58, 237-245. [Google Scholar] [CrossRef] [PubMed]
[10] Ghorbani, F., Ahmadi, H. and Davar, G. (2023) Patient Dissatisfaction Following Rhinoplasty: A 10-Year Experience in Iran. Maxillofacial Plastic and Reconstructive Surgery, 45, Article No. 7. [Google Scholar] [CrossRef] [PubMed]
[11] Storck, K., Ussar, S., Kotz, S., et al. (2024) Characterization of Fat Used for the Optimization of the Soft Tissue Envelope of the Nose in Rhinoplasty. Facial Plastic Surgery, 10, 1055-1059.
[12] Lozada, K.N., Locketz, G.D. and Becker, D.G. (2021) Supracrural Ligament Graft in Rhinoplasty. Facial Plastic Surgery, 37, 98-101. [Google Scholar] [CrossRef] [PubMed]
[13] Balikci, H., Yenigun, A., Aksoy, F., Dogan, R. and Tugrul, S. (2022) Supratip Suture and Skin Scoring Technique in the Patient with Thick Skin in Rhinoplasty. American Journal of Otolaryngology, 43, Article 103481. [Google Scholar] [CrossRef] [PubMed]
[14] Kim, Y., Park, J.H., Park, M., Lee, E., Hong, S.D., Jung, Y.G., et al. (2024) Differences in Nasal Shapes and the Degree of Changes over a Decade or More: A Paired Analysis. Clinical and Experimental Otorhinolaryngology, 17, 56-63. [Google Scholar] [CrossRef] [PubMed]
[15] Zhu, X., Zhang, B. and Huang, Y. (2023) Trends of Rhinoplasty Research in the Last Decade with Bibliometric Analysis. Frontiers in Surgery, 9, Article 1067934. [Google Scholar] [CrossRef] [PubMed]
[16] Song, D., Wang, X. and Yu, Z. (2024) Nonsurgical Rhinoplasty: An Updated Systematic Review of Technique, Outcomes, Complications, and Its Treatments. Aesthetic Plastic Surgery, 48, 4902-4915. [Google Scholar] [CrossRef] [PubMed]
[17] Kucukguven, A. and Konas, E. (2022) Fine-Tuning of the Supratip in Rhinoplasty: An External Approach. Aesthetic Plastic Surgery, 46, 2938-2946. [Google Scholar] [CrossRef] [PubMed]
[18] Pozzi, M., Susini, P., Murante, A., Bolletta, A., Cuomo, R. and Roxo, C.W. (2024) Alar Base Lining Graft: A New Technique to Prevent and Correct Alar Retraction in Primary and Secondary Rhinoplasty. Plastic & Reconstructive Surgery, 154, 1211-1216. [Google Scholar] [CrossRef] [PubMed]
[19] Aydın, C., Yücel, Ö.T., Akçalar, S., Atay, G., Özer, S., Sözen, T., et al. (2021) Role of Steroid Injection for Skin Thickness and Edema in Rhinoplasty Patients. Laryngoscope Investigative Otolaryngology, 6, 628-633. [Google Scholar] [CrossRef] [PubMed]

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