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Combined sill and alar technique useful in rhinoplasty
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Combining sill and alar excision in rhinoplasty yielded positive outcomes in terms of alar base and flaring in a cohort of Asian patients, according to recent findings.
The researchers aimed to assess the aesthetic outcomes of combining sill and alar excision in a cohort of 73 patients undergoing rhinoplasty from March 2004 to January 2013. The primary outcome was the changes in the ratio of the interalar distance to intercanthal and the occurrence of alar flaring, nostril symmetry and nostril shape.
A change in the mean ratio of interalar distance to intercanthal distance was reported, from 1.07 to 1.04 (P < .001). Among 60 patients with alar flaring, 75% did not have flaring after the procedure, the researchers wrote.
Nostril symmetry increased from 52% of the cohort before the procedure to 63% after the procedure (P < .001). Horizontally shaped nostrils were reported in 29% of patients before the procedure vs. 2% after the procedure. Preferred pear-shaped nostrils were observed in 27% of the group before the procedure and 48% after (OR = 1.16; 95% CI, 0.63-2.14), according to the findings.
Complications included one patient with alar deformity, one patient with unsatisfactory correlation of asymmetrical nostrils and two patients with unsatisfactory correction of alar flaring, the researchers wrote. – by Rob Volansky
Disclosure: The researchers report no relevant financial disclosures
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