Skip to main content
Erschienen in: Aesthetic Plastic Surgery 1/2022

11.06.2021 | Original Article

A Novel Study on Alar Mobility of HAN Female by 3dMD Dynamic Surface Imaging System

verfasst von: Yehong Zhong, Yijia Zhu, Taoran Jiang, Jie Yuan, Liang Xu, Dejun Cao, Zheyuan Yu, Min Wei

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 1/2022

Einloggen, um Zugang zu erhalten

Abstract

Aim

The aim of this study is to conduct a quantitative analysis on alar mobility of HAN females and provided referenced materials for alar dynamic aesthetic.

Methods

One hundred and fifty healthy HAN females without rhinoplasty, nasal injury, nasal deformity and craniofacial deformity were included in this study. 3dMD surface imaging system was used for anthropometric analysis. All participants were instructed to perform the desired dynamic facial expression from rest to maximum smile without reveling teeth and recorded by 3dMD dynamic surface imaging system simultaneously. Two frames of rest status and alar maximum enlargement were selected for measuring alar width, alar base width and inner-canthal distance. The difference between two status represented alar mobility, which was generated through equation: \({\text{MOBILITY}} = \frac{{{\text{WIDTH}}_{{{\text{smile}}}} - {\text{WIDTH}}_{{{\text{rest}}}} }}{{{\text{WIDTH}}_{{{\text{rest}}}} }} \times 100\%\).

Results

Alar mobility consisted of alar flaring mobility and alar base mobility. The alar flaring mobility was (9.49 ± 4.90)%, reference range was(1.45, 17.53)% and regression equation between rest and maximum smile was Y = 7.953 + 0.886X (R2 = 0.641, p = 0.000); the alar base mobility was (17.94 ± 10.44)%, reference range was (0.88, 35.00)% and regression equation between rest and maximum smile was Y = 4.481 + 0.966X (R2 = 0.528, p = 0.000.

Conclusion

Asian alar anatomy has great distinction from Caucasian, processing conspicuous alar movement and damaging alar aesthetic dynamically. This study novelly defined alar mobility by three-dimensional anthropometric analysis, providing objective references for alar dynamic aesthetic and arousing plastic surgeons’ attention on keeping balance of static and dynamic aesthetic in rhinoplasty.

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.
Literatur
3.
Zurück zum Zitat Yotsuyanagi T, Yamashita K, Urushidate S et al (2000) Nasal reconstruction based on aesthetic subunits in orientals. Plast Reconstr Srug 106(1):36–44CrossRef Yotsuyanagi T, Yamashita K, Urushidate S et al (2000) Nasal reconstruction based on aesthetic subunits in orientals. Plast Reconstr Srug 106(1):36–44CrossRef
4.
Zurück zum Zitat Gunter JP (2007) Dallas rhinoplasty: nasal surgery by the masters. CRC Press, Boca Raton, pp 67–80 Gunter JP (2007) Dallas rhinoplasty: nasal surgery by the masters. CRC Press, Boca Raton, pp 67–80
5.
Zurück zum Zitat Rohrich RJ, Malafa MM, Ahmad J et al (2017) Managing alar flare in rhinoplasty. Plast Reconstr Surg 140(5):910–919CrossRef Rohrich RJ, Malafa MM, Ahmad J et al (2017) Managing alar flare in rhinoplasty. Plast Reconstr Surg 140(5):910–919CrossRef
6.
Zurück zum Zitat Peng GL, Nassif PS (2016) Rhinoplasty in the African American patient: anatomic considerations and technical pearls. Clin Plast Surg 43(1):255–264CrossRef Peng GL, Nassif PS (2016) Rhinoplasty in the African American patient: anatomic considerations and technical pearls. Clin Plast Surg 43(1):255–264CrossRef
7.
Zurück zum Zitat Nord F, Ferjencik R, Seifert B, Lanzer M et al (2015) The 3dMD photogrammetric photo system in cranio-maxillofacial surgery: validation of interexaminer variations and perceptions. Craniomaxillofac Surg 43(9):1798–1803CrossRef Nord F, Ferjencik R, Seifert B, Lanzer M et al (2015) The 3dMD photogrammetric photo system in cranio-maxillofacial surgery: validation of interexaminer variations and perceptions. Craniomaxillofac Surg 43(9):1798–1803CrossRef
8.
Zurück zum Zitat Lowney CJ, Hsung TC, Morris DO, Khambay BS (2018) Quantitative dynamic analysis of the nasolabial complex using 3D motion capture: a normative data set. J Plast Reconstr Aesthet Surg 71(9):1332–1345CrossRef Lowney CJ, Hsung TC, Morris DO, Khambay BS (2018) Quantitative dynamic analysis of the nasolabial complex using 3D motion capture: a normative data set. J Plast Reconstr Aesthet Surg 71(9):1332–1345CrossRef
9.
Zurück zum Zitat Pucciarelli V, Gibelli D, Barni L, Gagliano N, Dolci C, Sforza C (2018) Assessing normal smiling function through 3D–3D surfaces registration: an innovative method for the assessment of facial mimicry. Aesthetic Plast Surg 42(2):456–463CrossRef Pucciarelli V, Gibelli D, Barni L, Gagliano N, Dolci C, Sforza C (2018) Assessing normal smiling function through 3D–3D surfaces registration: an innovative method for the assessment of facial mimicry. Aesthetic Plast Surg 42(2):456–463CrossRef
10.
Zurück zum Zitat Santos M, Monteiro D, Coutinho M, e Sousa CA, Ferreira MG (2019) Caucasian Mediterranean patients seeking rhinoplasty-Anthropometric measurements and prevalence of major deformities. Clin Otolaryngol 44(4):581–587CrossRef Santos M, Monteiro D, Coutinho M, e Sousa CA, Ferreira MG (2019) Caucasian Mediterranean patients seeking rhinoplasty-Anthropometric measurements and prevalence of major deformities. Clin Otolaryngol 44(4):581–587CrossRef
11.
Zurück zum Zitat Geng ZJ (1996) Rainbow three-dimensional camera: new concept of high-speed three-dimensional vision systems. Opt Eng 5:376e83 Geng ZJ (1996) Rainbow three-dimensional camera: new concept of high-speed three-dimensional vision systems. Opt Eng 5:376e83
12.
Zurück zum Zitat Tzou CHJ, Artner NM, Pona I et al (2014) Comparison of three-dimensional surface-imaging systems. J Plast Reconstr Aesthet Surg 67(4):489–497CrossRef Tzou CHJ, Artner NM, Pona I et al (2014) Comparison of three-dimensional surface-imaging systems. J Plast Reconstr Aesthet Surg 67(4):489–497CrossRef
13.
Zurück zum Zitat Alrejaye N, Gao J, Hatcher D et al (2019) Effect of maxillary expansion and protraction on the oropharyngeal airway in individuals with non-syndromic cleft palate with or without cleft lip. PLoS ONE 14(7):e0213328CrossRef Alrejaye N, Gao J, Hatcher D et al (2019) Effect of maxillary expansion and protraction on the oropharyngeal airway in individuals with non-syndromic cleft palate with or without cleft lip. PLoS ONE 14(7):e0213328CrossRef
14.
Zurück zum Zitat Wu J, Heike C, Birgfeld C et al (2016) Measuring symmetry in children with unrepaired cleft lip: defining a standard for the three-dimensional mid-facial reference plane. Cleft Palate Craniofac J 53(6):695–704CrossRef Wu J, Heike C, Birgfeld C et al (2016) Measuring symmetry in children with unrepaired cleft lip: defining a standard for the three-dimensional mid-facial reference plane. Cleft Palate Craniofac J 53(6):695–704CrossRef
15.
Zurück zum Zitat Metzger TE, Kula KS, Eckert GJ et al (2013) Orthodontic soft-tissue parameters: a comparison of cone-beam computed tomography and the 3dMD imaging system. Am J Orthod Dentofac Orthop 144(5):672–681CrossRef Metzger TE, Kula KS, Eckert GJ et al (2013) Orthodontic soft-tissue parameters: a comparison of cone-beam computed tomography and the 3dMD imaging system. Am J Orthod Dentofac Orthop 144(5):672–681CrossRef
16.
Zurück zum Zitat Ducut EG, Han SK, Kim SB et al (2006) Factors affecting nostril shape in Asian noses. Plast Reconstr Surg 118(7):1613CrossRef Ducut EG, Han SK, Kim SB et al (2006) Factors affecting nostril shape in Asian noses. Plast Reconstr Surg 118(7):1613CrossRef
17.
Zurück zum Zitat Rajanala S, Maymone MBC, Vashi NA (2018) Selfies-living in the era of filtered photographs. JAMA Facial Plast Surg. 20(6):443–444CrossRef Rajanala S, Maymone MBC, Vashi NA (2018) Selfies-living in the era of filtered photographs. JAMA Facial Plast Surg. 20(6):443–444CrossRef
18.
Zurück zum Zitat Rubin LR (1974) The anatomy of a smile: its importance in the treatment of facial paralysis. Plast Reconstr Surg 53(4):384–387CrossRef Rubin LR (1974) The anatomy of a smile: its importance in the treatment of facial paralysis. Plast Reconstr Surg 53(4):384–387CrossRef
19.
Zurück zum Zitat Hur MS, Hu KS, Youn KH et al (2015) New anatomical profile of the nasal musculature: dilator naris vestibularis, dilator naris anterior, and alar part of the nasalis. Clin Anat 24(2):162–167CrossRef Hur MS, Hu KS, Youn KH et al (2015) New anatomical profile of the nasal musculature: dilator naris vestibularis, dilator naris anterior, and alar part of the nasalis. Clin Anat 24(2):162–167CrossRef
20.
Zurück zum Zitat Saban Y, Amodeo CA, Hammou JC et al (2008) An anatomical study of the nasal superficial musculoaponeurotic system: surgical applications in rhinoplasty. Arch Facial Plast Surg 10(2):109–115CrossRef Saban Y, Amodeo CA, Hammou JC et al (2008) An anatomical study of the nasal superficial musculoaponeurotic system: surgical applications in rhinoplasty. Arch Facial Plast Surg 10(2):109–115CrossRef
21.
Zurück zum Zitat Clark MPA, Greenfield B, Hunt N et al (1998) Function of the nasal muscles in normal subjects assessed by dynamic MRI and EMG: its relevance to rhinoplasty surgery. Plast Reconstr Surg 101(7):1945–1955CrossRef Clark MPA, Greenfield B, Hunt N et al (1998) Function of the nasal muscles in normal subjects assessed by dynamic MRI and EMG: its relevance to rhinoplasty surgery. Plast Reconstr Surg 101(7):1945–1955CrossRef
22.
Zurück zum Zitat Tuncel U, Turan A, Kostakoğlu N (2013) Digital anthropometric shape analysis of 110 rhinoplasty patients in the Black Sea Region in Turkey. J Craniomaxillofac Surg 41(2):98–102CrossRef Tuncel U, Turan A, Kostakoğlu N (2013) Digital anthropometric shape analysis of 110 rhinoplasty patients in the Black Sea Region in Turkey. J Craniomaxillofac Surg 41(2):98–102CrossRef
23.
Zurück zum Zitat Sawyer AR et al (2010) Quantitative analysis of normal smile with 3D stereophotogrammetry—an aid to facial reanimation—ScienceDirect. J Plast Reconstr Aesthet Surg 63(1):65–72CrossRef Sawyer AR et al (2010) Quantitative analysis of normal smile with 3D stereophotogrammetry—an aid to facial reanimation—ScienceDirect. J Plast Reconstr Aesthet Surg 63(1):65–72CrossRef
24.
Zurück zum Zitat Popat H, Henley E, Richmond S et al (2010) A comparison of the reproducibility of verbal and nonverbal facial gestures using three-dimensional motion analysis. Otolaryngol Head Neck Surg 142(6):867–872CrossRef Popat H, Henley E, Richmond S et al (2010) A comparison of the reproducibility of verbal and nonverbal facial gestures using three-dimensional motion analysis. Otolaryngol Head Neck Surg 142(6):867–872CrossRef
25.
Zurück zum Zitat Tebbetts JB (2003) Nasal tip sutures part I: the evolution nasal tip sutures part II: the interplays; Bahman Guyuron, M.D. and Ramin A. Behmand, M.D. Plast Reconstr Surg 112(4):1146–1149CrossRef Tebbetts JB (2003) Nasal tip sutures part I: the evolution nasal tip sutures part II: the interplays; Bahman Guyuron, M.D. and Ramin A. Behmand, M.D. Plast Reconstr Surg 112(4):1146–1149CrossRef
26.
Zurück zum Zitat Toriumi DM, Becker DG (1999) Rhinoplasty dissection manual. Lippincott Williams & Wilkins, Philadelphia Toriumi DM, Becker DG (1999) Rhinoplasty dissection manual. Lippincott Williams & Wilkins, Philadelphia
27.
Zurück zum Zitat Hwang WS, Hur MS, Hu KS et al (2009) Surface anatomy of the lip elevator muscles for the treatment of gummy smile using botulinum toxin. Angle Orthod 79(1):70–77CrossRef Hwang WS, Hur MS, Hu KS et al (2009) Surface anatomy of the lip elevator muscles for the treatment of gummy smile using botulinum toxin. Angle Orthod 79(1):70–77CrossRef
Metadaten
Titel
A Novel Study on Alar Mobility of HAN Female by 3dMD Dynamic Surface Imaging System
verfasst von
Yehong Zhong
Yijia Zhu
Taoran Jiang
Jie Yuan
Liang Xu
Dejun Cao
Zheyuan Yu
Min Wei
Publikationsdatum
11.06.2021
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 1/2022
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02386-1

Weitere Artikel der Ausgabe 1/2022

Aesthetic Plastic Surgery 1/2022 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.