Correction of Alar Retraction by Articulated Alar Rim Graft Combined with V-Y Advancement.
3/5 보강
TL;DR
The combination of AARG and V-Y advancement is effective in correcting alar retraction, maintaining aesthetic nasal contours, and preventing long-term alar deformities.
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
25 patients (48 sides of alae) who underwent revision rhinoplasty using AARG combined with V-Y advancement between September 2021 and June 2022.
I · Intervention 중재 / 시술
revision rhinoplasty using AARG combined with V-Y advancement between September 2021 and June 2022
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
OpenAlex 토픽 ·
Reconstructive Facial Surgery Techniques
Ear Surgery and Otitis Media
Nasal Surgery and Airway Studies
【연구 목적】 아시아인 코성형술(rhinoplasty)에서 흔히 발생하고 교정이 어려운 비翼 후퇴(alarm retraction)를 교정하기 위해, 관절형 비翼연골 이식편(articulated alar rim graft, AARG)과 V-Y 전진술(V-Y advancement)을 결합한 수술법의 효과성을 평가하는 것이 본 연구의 핵심 목표이다.
- 추적기간 8 months
APA
Lesley Zhan, Xuming Wang (2025). Correction of Alar Retraction by Articulated Alar Rim Graft Combined with V-Y Advancement.. Aesthetic plastic surgery. https://doi.org/10.1007/s00266-025-05506-3
MLA
Lesley Zhan, et al.. "Correction of Alar Retraction by Articulated Alar Rim Graft Combined with V-Y Advancement.." Aesthetic plastic surgery, 2025.
PMID
41400907 ↗
Abstract 한글 요약
[BACKGROUND] The alar-columellar relationship was crucial for aesthetic evaluation of the lower nasal area, with alar retraction being a common and challenging deformity in Asian rhinoplasty.
[OBJECTIVES] This study aims to evaluate the effectiveness of articulated alar rim graft (AARG) combined with V-Y advancement in correcting alar retraction.
[METHODS] A retrospective analysis was conducted on 25 patients (48 sides of alae) who underwent revision rhinoplasty using AARG combined with V-Y advancement between September 2021 and June 2022. Postoperative photograph was used to follow-up with the patients. The distance from the alar rim to the nostril axis was measured preoperatively and postoperatively to assess the correction effectiveness.
[RESULTS] The mean follow-up period was 8 months. The preoperative distance from the alar rim to the nostril axis averaged 3.4 mm, reduced to 1.5 mm postoperatively. The average reduction was 1.9 mm. Most patients exhibited natural soft tissue contours postoperatively, with no significant graft-related complications.
[CONCLUSIONS] The combination of AARG and V-Y advancement is effective in correcting alar retraction, maintaining aesthetic nasal contours, and preventing long-term alar deformities.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[OBJECTIVES] This study aims to evaluate the effectiveness of articulated alar rim graft (AARG) combined with V-Y advancement in correcting alar retraction.
[METHODS] A retrospective analysis was conducted on 25 patients (48 sides of alae) who underwent revision rhinoplasty using AARG combined with V-Y advancement between September 2021 and June 2022. Postoperative photograph was used to follow-up with the patients. The distance from the alar rim to the nostril axis was measured preoperatively and postoperatively to assess the correction effectiveness.
[RESULTS] The mean follow-up period was 8 months. The preoperative distance from the alar rim to the nostril axis averaged 3.4 mm, reduced to 1.5 mm postoperatively. The average reduction was 1.9 mm. Most patients exhibited natural soft tissue contours postoperatively, with no significant graft-related complications.
[CONCLUSIONS] The combination of AARG and V-Y advancement is effective in correcting alar retraction, maintaining aesthetic nasal contours, and preventing long-term alar deformities.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
【연구 목적】
아시아인 코성형술(rhinoplasty)에서 흔히 발생하고 교정이 어려운 비翼 후퇴(alarm retraction)를 교정하기 위해, 관절형 비翼연골 이식편(articulated alar rim graft, AARG)과 V-Y 전진술(V-Y advancement)을 결합한 수술법의 효과성을 평가하는 것이 본 연구의 핵심 목표이다.
【방법】
2021년 9월부터 2022년 6월까지 관절형 비翼연골 이식편과 V-Y 전진술을 결합한 재수술(revision rhinoplasty)을 받은 25명(비翼 48개)의 환자를 대상으로 후향적 분석을 수행했다. 수술 전후 사진에서 비翼연골과 비강 축(nostril axis) 사이의 거리를 측정하여 교정 효과를 정량적으로 평가했다.
【주요 결과】
평균 8개월의 추적 관찰 결과, 수술 전 비翼연골과 비강 축 사이의 평균 거리는 3.4mm에서 수술 후 1.5mm로 평균 1.9mm 감소했다. 대부분의 환자에서 자연스러운 연부 조직 윤곽이 유지되었으며, 이식편과 관련된 유의미한 합병증은 보고되지 않았다.
【임상적 시사점 (성형외과 의사 관점)】
비翼 후퇴(alarm retraction)는 코성형술 후 발생할 수 있는 미적 및 기능적 합병증으로, 특히 아시아인 환자에서 교정이 어려운 문제이다. 본 연구 결과는 관절형 비翼연골 이식편(AARG)과 V-Y 전진술을 결합하는 것이 비翼의 하강을 효과적으로 교정하고 자연스러운 비翼 윤곽을 유지할 수 있음을 시사한다. 성형외과 의사는 재수술 시 비翼 지지력 부족으로 인한 후퇴를 예방하거나 교정하기 위해 이 결합 기법을 고려할 수 있다. 이식편의 관절성 설계는 비翼의 자연스러운 움직임을 허용하여 장기적인 변형이나 경직을 방지하는 데 유리할 수 있다. 또한 이식편 관련 합병증이 적었다는 점은 적절한 환자 선정과 수술 기법 적용 시 안전성이 확보됨을 의미하므로, 비翼 연부 조직의 두께와 탄성을 고려한 술 전 평가가 중요하다. 이 기법은 비翼의 하방 위치를 안정화시켜 코의 전체적인 미적 균형, 특히 비翼-비중격(columellar) 관계를 개선하는 데 임상적으로 유용하게 활용될 수 있다.
추출된 의학 개체 (NER)
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | alar
|
콧방울 | dict | 10 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 2 | |
| 해부 | nostril
|
콧방울 | dict | 2 | |
| 해부 | alae
|
콧방울 | dict | 1 | |
| 합병증 | Graft
|
이식편 | scispacy | 1 | |
| 합병증 | nasal area
|
scispacy | 1 | ||
| 합병증 | nasal contours
|
scispacy | 1 | ||
| 약물 | AARG
→ alar rim graft
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] The
|
scispacy | 1 | ||
| 질환 | AARG
→ alar rim graft
|
scispacy | 1 | ||
| 질환 | alar deformities
|
scispacy | 1 | ||
| 질환 | natural soft tissue contours
|
scispacy | 1 | ||
| 기타 | alar-columellar
|
scispacy | 1 | ||
| 기타 | alar rim graft
|
scispacy | 1 | ||
| 기타 | alar rim
|
scispacy | 1 |
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