外鼻整形术在鼻翼退缩分型患者中的应用效果

目的 观察外鼻整形术在鼻翼退缩分型患者中的应用效果。方法 选取四川悦好医学美容医院美容 外科2021年1月-2023年1月收治的60例鼻翼退缩分型患者，按照随机数字表法分为对照组和观察组，各 30例。对照组行鼻孔缩小术，观察组行外鼻整形术，比较两组外鼻整形参数、鼻美学指标、临床疗效、鼻 通气功能指标、鼻外形畸形情况、鼻腔通气评分及并发症发生情况。结果 观察组鼻长、理想鼻长、额鼻 角、鼻唇角优于对照组，差异有统计学意义（P＜0.05）；观察组鼻尖突出度高于对照组，鼻孔暴露度低于 对照组，差异有统计学意义（P ＜0.05）；观察组治疗总有效率为96.67%，高于对照组的86.67%，差异有 统计学意义（P ＜0.05）；观察组鼻腔最小截面积、鼻腔容积、鼻腔呼气吸气阻力各项鼻通气功能指标优 于对照组，差异有统计学意义（P ＜0.05）；观察组鼻外形畸形评分、鼻腔通气评分低于对照组，差异有 统计学意义（P ＜0.05）；两组均未见并发症发生。结论 外鼻整形术在鼻孔暴露度鼻翼退缩分型患者中的 应用效果优于鼻孔缩小术，对改善患者鼻孔暴露度、鼻部美观度等具有积极作用，更具临床应用价值。

Application Effect of External Rhinoplasty in Patients with Nasal Alar Retraction

Objective To observe the application effect of external rhinoplasty in patients with nasal alar retraction. Methods From January 2021 to January 2023, 60 patients with alar recession type were selected from the Department of Aesthetic Surgery of Sichuan BAB Medical Beauty Hospital. They were divided into control group and observation group according to the random number table method, with 30 patients in each group. The control group underwent nostril reduction, and the observation group underwent external rhinoplasty. The external rhinoplasty parameters, nasal aesthetic indexes, clinical efficacy, nasal ventilation function indexes, nasal deformity, nasal ventilation scores and complications were compared between the two groups. Results The nasal length, ideal nasal length, frontal nasal angle and nasolabial angle of the observation group were better than those of the control group, and the differences were statistically significant (P <0.05). The nasal tip protrusion of the observation group was higher than that of the control group, and the nostril exposure was lower than that of the control group (P <0.05). The total effective rate of the observation group was 96.67%, which was higher than 86.67% of the control group, and the difference was statistically significant (P <0.05). The nasal minimum cross-sectional area, nasal volume, nasal expiratory inspiratory resistance and nasal ventilation function indexes of the observation group were better than those of the control group, and the differences were statistically significant (P <0.05). The nasal deformity score and nasal ventilation score of the observation group were lower than those of the control group, and the differences were statistically significant (P <0.05). No complications occurred in both groups. Conclusion The application effect of external rhinoplasty in patients with alar recession type of nostril exposure is better than that of nostril reduction. Meanwhile, external rhinoplasty has a positive effect on improving the nostril exposure of patients with alar recession type, and has more clinical application value.