코높임술과 코끝성형술 후 안면부 옆모습 변화에 대한 계측학적 분석 = Anthropometric Analysis on Facial Profile Alterations Following Augmentation Rhinoplasty with Nasal Tip Plasty

다국어 초록 (Multilingual Abstract)

There are various nasal measurement parameters for rhinoplasty, so it is difficult for surgeons to decide which measurements to place more emphasis on. Among many, we searched for measurements that are significantly altered after the augmentation rhinoplasty with nasal tip plasty to figure out which measurements are most required in preoperative preparation. From January, 2006 to July, 2008, a total of 85 patients underwent augmentation rhinoplasty with nasal tip plasty and 40 were selected for comparative analysis of preoperative and postoperative photographs. Among many measurement factors reflecting changes of a face and a nose, we measured and compared following parameters, 1) nasofrontal angle, 2) nasofacial angle, 3) nasolabial angle, 4) nasal tip angle, 5) columella-lobular angle, 6) nasal length to tip projection, 7) alar slope angle, 8) nostril axis angle, 9) lobule-to-nostril ratio before and after operations. The result was analyzed using paired t-test. The measurement parameters most significantly altered after augmentation rhinoplasty with nasal tip plasty were the increase in nasolabial angle, the decrease in nasofacial angle, and the decrease in nostril axis angle. Therefore, surgeons should place more emphasis on these parameters in preoperative planning and postoperative evaluation.

참고문헌 (Reference)

1 김성민, "얼굴의 측면 윤곽선 개선을 위한 미용 코성형술" 대한성형외과학회 32 (32): 205-213, 2005

2 Gruber RP, "The short nose" 23 : 297-, 1996

3 Seo SW, "The clinical use of various nasal implant in rhinoplasty" 27 : 204-, 2000

4 Byrd HS, "Rhinoplasty: a practical guide for surgical planning" 91 : 642-, 1993

5 Sheen JH, "Rhinoplasty: Personal evolution and milestones" 105 : 1820-, 2000

6 Han KH, "Rhinoplasty. In Aesthetic Plastic Surgery" Koonja Publishing, Inc. 159-, 1998

7 Rohrich RJ, "Primary Rhinoplasty. Plastic Surgery, 2nd ed" Saunders 444-, 2006

8 Guyuron B, "Precision rhinoplasty. Part II: Prediction" 81 : 500-, 1988

9 Lee WJ, "Nasal tip plasty on bulbous nasal tip" 26 : 798-, 1999

10 McCurdy JA, "Cosmetic surgery of the asian nose" Thime Medical Publishers 43-, 1990

11 Gunter JP, "Clinical assessment and facial analysis. Dallas Rhinoplasty, 2nd ed" Quality Medical Publishing, Inc. 121-, 2007

12 Shon DG, "Anthropometric of head and neck. In Lee YH: Aesthetic Plastic Surgery. 1st ed" Koonja Publishing, Inc. 31-, 1998

13 Kang JS, "Aesthetic rhinoplasty.: Plastic Surgery, 3rd ed" Koonja Publishing, Inc. 1125-, 2004

14 Han KH, "A somatometric study of the Korean nose" 9 : 1-, 1982