中国汉族青年女性鼻尖活动度的测量及临床意义

目的测量中国汉族青年女性的鼻尖活动范围,并与隆鼻术后的鼻尖活动范围对比,为鼻整形提供形态学资料及术后评判指标。方法选择100名普通汉族青年女性(正常组)和30名植入人工材料的隆鼻术后女性患者(隆鼻组),确定鼻的活动临界点A,测量鼻尖活动度、A点至鼻尖距离(A-P)和鼻长。结果正常组的鼻尖活动度经测量为35.73°±4.72°,隆鼻组鼻尖活动度为21.45°±7.53°,两者有明显统计学差异。正常组A-P间距为(16.62±1.95)mm,隆鼻组为(25.89±10.16)mm。鼻长均在正常范围内。隆鼻组63%的成员感觉鼻尖活动度下降,30%的成员因此对手术效果欠满意。结论证实植入人工材料的隆鼻术可降低鼻尖活动度,进而影响受术者对手术效果的评价。

Measurement and the Significance on the Activity of Nasal Tip of the Youth Female in Han Nationality

Objective To investigate the activity of nasal tip of the youth female in Han nationality comparing with the activity of nasal tip of those who have undergone rhinoplasty, and to provide morphologic basis and assessment criteria for nasal plasty. Methods External noses of 100 youth female （natural group） and 30 female undergoing rhinoplasty with alloplastic materials （operative group） were chosen. After the activity critical point A was confirmed, the activity of nose tip, the length of A-P and the nasal length were measured. Results The activity of nasal tip in natural group was 35.73 ° ± 4.72 ° , and 21.45 ° ± 7.53 ° in operative group. There were significant differences between 2 groups. The length of A-P in natural group was （16.62 ±1.95） mm while it was （25.89±10.16） mm in operative group. The nasal lengths were both in normal range. In operative group, 63%of the patients felt the decent of the nasal tip activity, 30% were not satisfied with the operation because of this. Conclusion Rhinoplasty with alloplastic materials could lower the activity of nose and have influence on the patients ’ assessment for the surgery.