伊朗鼻整形候选者鼻部美学参数的术前人体测量评估：与传统规范标准的偏离
Preoperative anthropometric assessment of nasal aesthetic parameters in iranian rhinoplasty candidates: deviation from conventional normative standards.
文献信息
| PMID | 42867628 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Ata Aharipour |
| 作者单位 | Department of Oral and Maxillofacial Surgery, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. |
| 期刊 | Maxillofacial plastic and reconstructive surgery |
| SCI 分区 | Q1 |
| IF | 2.9 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 传统鼻部人体测量规范被广泛用于美学分析；然而，其在不同人群中的适用性仍不确定。本研究旨在对鼻整形候选者进行鼻部美学参数的术前人体测量评估，并描述其偏离传统规范标准的频率和模式。
方法： 在这项回顾性描述性横断面研究中，评估了来自伊朗阿瓦士私立口腔颌面外科诊所和伊玛目霍梅尼医院的60名鼻整形候选者的术前面部照片。分析了符合预定义质量和定位标准的术前侧面和正面面部照片。鼻部美学参数被分类为在预定义传统标准范围内或范围外。研究结果使用频率、百分比以及超出传统标准比例的确切95%二项置信区间进行总结。
结果： 本研究纳入60名鼻整形候选者，包括32名男性（53.3%）和28名女性（46.7%）。最常见的超出传统标准的结果为鼻根前后位置57例（95.0%）、鼻尖突出度56例（93.3%）、鼻额角55例（91.7%）、鼻背驼峰54例（90.0%）和鼻翼基底宽度47例（78.3%）。鼻根垂直位置、鼻唇角和小柱显示在传统标准范围内外的分布相对均衡。8例（13.3%）未达到鼻尖上区/下区转折标准，11例（18.3%）存在鼻背偏斜。
结论： 研究结果支持将人体测量评估作为手术规划的描述性组成部分，同时强调传统标准不应作为美学适宜性的唯一决定因素。术前评估应将客观鼻部评估与每位患者的个体目标和文化偏好相结合。
英文摘要
BACKGROUND: Conventional nasal anthropometric norms are widely used in aesthetic analysis; however, their applicability across different populations remains uncertain. This study aimed to perform a preoperative anthropometric assessment of nasal aesthetic parameters in rhinoplasty candidates and to describe the frequency and pattern of deviations from conventional normative criteria.
METHODS: In this retrospective descriptive cross-sectional study, preoperative facial photographs of 60 rhinoplasty candidates from private oral and maxillofacial surgery clinics and Imam Khomeini Hospital in Ahvaz, Iran, were evaluated. Preoperative profile and frontal facial photographs meeting predefined quality and positioning criteria were analyzed. Nasal aesthetic parameters were classified as within or outside predefined conventional criteria. Findings were summarized using frequencies, percentages, and exact 95% binomial confidence intervals for the proportions of findings outside the conventional criteria.
RESULTS: The study included 60 rhinoplasty candidates, comprising 32 males (53.3%) and 28 females (46.7%). The most frequent findings outside the conventional criteria were anterior-posterior radix position in 57 patients (95.0%), tip projection in 56 (93.3%), nasofrontal angle in 55 (91.7%), dorsal hump in 54 (90.0%), and alar base width in 47 (78.3%). Vertical radix position, nasolabial angle, and columellar show had relatively balanced distributions within and outside the conventional criteria. The supratip/infratip break criterion was not met in 8 patients (13.3%), and nasal dorsal deviation was present in 11 patients (18.3%).
CONCLUSION: The findings support the use of anthropometric assessment as a descriptive component of surgical planning, while emphasizing that conventional standards should not be used as the sole determinants of aesthetic suitability. Preoperative evaluation should integrate objective nasal assessment with each patient's individual goals and cultural preferences.