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Morphological Measurement of Asian Osteal Nasal Base for Paranasal Augmentation

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  • Rhinoplasty
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Abstract

Background

Paranasal augmentation has been a popular approach in restoring Asian patients’ lateral profile. Irregular surface in the surgical area emphasizes the importance of morphological evidence for the preoperative evaluation and the design of paranasal implants.

Methods

We retrospectively collected craniofacial computer tomography scans of patients in the department of plastic surgery from 2020 to 2022. The imaging data were imported to Mimics (version 20.0; Materialize, Leuven, Belgium) for three-dimensional reconstruction. Measurements of osteal nasal base were performed in 3-matics (version 12.0; Materialize). The severity of paranasal concavity was graded by a senior doctor to study the correlation with measured variables.

Results

Fifty-seven patients with a median age of 27 years (IQR: 22–33) were included in the study. For design of paranasal implants, the lengths of both lower and lateral edge were measured for reference. In the regression analysis, the alar base-alveolar process angle was significantly associated with the degrees of paranasal concavity (OR = 1.222, p = 0.00001).

Conclusions

Morphological data of osteal nasal base were measured and presented in the current study. The analysis supported that alar base-alveolar process angle be used for preoperative grading and evaluation to help guiding treatment decisions.

Level of Evidence IV

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Funding

This work was supported by Key Clinical Projects of Peking University Third Hospital (No. BYSYFY2021005)

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Author notes

  1. Muqian Wei, Guanhuier Wang, Runlei Zhao and Guang** Zhou have contributed equally to this work.

Authors and Affiliations

  1. Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Bei**g, 100191, China

    Muqian Wei, Guanhuier Wang, Runlei Zhao, Yonghuan Zhen, ** Bu, Dong Li & Yang An

  2. Department of Radiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Bei**g, 100191, China

    Guang** Zhou

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  1. Muqian Wei
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Correspondence to Yang An.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Formal consent and ethical committee approval were not required for this retrospective observational study, which did not contain identifiable personal information.

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Wei, M., Wang, G., Zhao, R. et al. Morphological Measurement of Asian Osteal Nasal Base for Paranasal Augmentation. Aesth Plast Surg 48, 1728–1736 (2024). https://doi.org/10.1007/s00266-023-03724-1

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