湖南籍汉族青年女性外鼻形态的测量及其在短鼻整形中的应用

Measurement of Hunan Han young female nasal shape and its application for short nose rhinoplasty

目的测量湖南籍汉族青年女性外鼻形态的数据，并探讨其在短鼻整形中的应用。方法2015年6～12月，在湖南湘潭医卫职业技术学院选择湖南籍汉族青年女性162名，通过平面照相测量法获取其鼻高、鼻长、鼻宽、鼻深、鼻额角、鼻面角、鼻唇角、鼻尖角、鼻指数、鼻深宽指数、鼻尖突出度等测量数据，建立外鼻形态数据库。2016年1～6月应用于39例短鼻整形术前指导和术后评估，并采用独立样本t检验将术后鼻部测量数据与外鼻形态数据库进行对比，以评估其在短鼻整形中的应用价值。结果湖南籍汉族女性外鼻测量数据为：鼻长度（4.4±0.2） cm、鼻高（4.8±0.2） cm、鼻宽（3.3±0.2） cm、鼻深（1.8±0.2） cm、鼻唇角（88.6±7.0）°、鼻额角（136.0±5.5）°、鼻面角（33.3±3.0）°、鼻尖角（82.4±5.4）°、鼻指数70.4±4.8、鼻深宽指数55.1±5.7、鼻尖突出度（47.4±11.4）%。39例短鼻患者整形术后鼻唇角、鼻额角、鼻面角、鼻尖角、鼻指数、鼻深宽指数、鼻尖突出度数据与外鼻形态数据库对比，差异均无统计学意义，但鼻长、鼻高、鼻宽、鼻深等，差异均有统计学意义。结论建立了湖南籍汉族青年女性的外鼻形态数据库，该数据库可为湖南籍汉族女性的短鼻患者手术计划的制定、实施以及术后美学评价提供参考。

ObjectiveTo explore the measurement of Hunan Han young female nasal shape and its application for short nose rhinoplasty. MethodsFrom June to December 2015, 162 Han young females in Hunan Xiangtan were chosen. Their photographs were used by the photogrammetry for measuremnet of nasal length, nasal height, nasal breadth, nasal depth, nasolabial angle, nasofrontal angel, nasorostral angel, columellar-facial angle, nose width-nose height index, nasal depth-nose width index, nasion to tip-defining point. The measurementresult were collected to create nasal shape database. During the period of January to June 2016, the database was applied to thirty-nine cases with short nose, to serve as guidelines for preoperative design and postoperative evaluation. Independent sample t-test was used to evaluate theresult of the operations by comparing the postoperative data with the nasal shape database of Hunan female nose assessment system. ResultsThe measurementresult of Hunan Han young female nasal shape were as follow： nasal length （4.4±0.2） cm, nasal height（4.8±0.2） cm, nasal width （3.3±0.2） cm, nasal depth （1.8±0.2） cm, nasolabial angle （88.6±7.0）°, nasofrontal angle （136.0±5.5）°, columellar-facial angle （33.3±3.0）°, nasal tip angle （82.4±5.4）°, nose width-nose height index 70.4±4.8, nasal depth-nose width index 55.1±5.7, nasion to tip-defining point （47.4±11.4）%.The short noses deformity was corrected greatly. The measurement data of nasolabial angle, nasofrontal angel, nasorostral angel, columellar-facial angle, nose width-nose height index, nasal depth-nose width index and nasion to tip-defining point had no statistical significance between postoperative patient and Hunan female, but nasal length, nasal height, nasal width and nasal depth difference have statistical significance. ConclusionsThe Hunan Han young female nasal shape database could provide quantitative reference for preoperative design, performance and post-operative aesthetics evaluation.