Buried-guided suture suspension of the alar crus: A minimally invasive method to correct nostril exposure

IF 2 3区医学 Q2 SURGERY Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-02-01 DOI:10.1016/j.bjps.2024.11.056

Qiang Yue, Zilong Cao, Yunzhang Wang, Shu Rui, Jiayue Liu, Tiran Zhang, Liqiang Liu

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Abstract

Objectives

To introduce a novel technique using the buried-guided suture method for suspending the alar crus to correct nostril exposure in East Asians and to investigate its safety and efficacy.

Methods

Patients with ptotic alar crus and nostril exposure at our clinic were enrolled between December 2011 and December 2023. Via an intranasal incision, the excess skin on the inner side of the nostrils was excised. The alar crus was suspended to the periosteum of the piriform aperture using non-absorbable sutures. Changes in the exposed area of the nostrils and distance of alar crus elevation were statistically analyzed before and after surgery. Satisfaction rate was assessed using a four-point visual analog scale.

Results

A total of 35 patients were included, with an average follow-up duration of 15 ± 6 months. Post-operatively, the mean exposed area of the nostrils was significantly reduced compared to the preoperative area (9.14 ± 1.93 mm² vs. 20.97 ± 2.64 mm², P < 0.05). The mean height of the alar crus relative to the base of the columella showed significant improvement post-operatively (+1.08 ± 0.32 mm vs. −1.82 ± 0.32 mm, P < 0.05). Overall, 91.4% (32/35) patients expressed satisfaction with the outcomes.

Conclusions

The buried-guided suture method for suspending the alar crus combined with excision of the inner nasal skin is a safe and effective surgical procedure for correcting nostril exposure.

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埋置引导鼻翼脚悬吊缝合：一种微创矫正鼻孔外露的方法。

目的：介绍一种新的埋置引导下鼻翼脚悬吊缝合术治疗东亚人鼻孔暴露的方法，并探讨其安全性和有效性。方法：选取2011年12月至2023年12月在我院就诊的鼻翼、脚、鼻孔外露上睑下垂患者。通过鼻内切口，切除鼻孔内侧多余的皮肤。用不可吸收缝线将鼻翼脚悬吊在梨状孔的骨膜上。统计分析手术前后鼻孔暴露面积和鼻翼脚抬高距离的变化。满意度采用四分式视觉模拟量表进行评估。结果：共纳入35例患者，平均随访时间15±6个月。术后鼻孔平均暴露面积较术前明显减少（9.14±1.93 mm²比20.97±2.64 mm²，P < 0.05）。鼻翼脚相对于鼻梁基部的平均高度术后有显著改善（+1.08±0.32 mm vs -1.82±0.32 mm, P < 0.05）。总体而言，91.4%（32/35）的患者对结果表示满意。结论：埋置引导下鼻翼足悬吊缝合联合鼻内皮切除是一种安全有效的矫正鼻孔外露的手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.