Abstract：
BACKGROUND: This study aims to explore the correlation between facial asymmetry and a crooked nose using objective methodologies.
METHODS: The cohort of 57 patients who underwent septorhinoplasty surgery for aesthetic reasons between 2019 and 2022. Patients were categorized based on the type of nasal axis deviation. The analysis involved reviewing patients\' photographs and cone beam computed tomography images. We identified various anatomical landmarks and compared measurements across the groups.
RESULTS: Among the study population, 21 (36.8%) exhibited Type-I (linear) and 15 (26.3%) demonstrated Type-C nasal axis deviation, while no deviation was detected in 21 (36.8%) patients. Upon evaluating the upper face area, significant differences were found in the glabella-lateral orbit (G-LO) and rhinion-lateral orbit (Rh-LO) parameters (p = 0.002 and p < 0.001, respectively). A statistically significant difference was discovered in all three parameters between the three groups in the middle face area [glabella-zygion (G-Zy) p = 0.04, rhinion-zygion (Rh-Zy) P < 0.001, anterior nasal spine-zygion (ANS-Zy) p < 0.001)]. Further, a statistically significant difference was noted in the soft tissue parameters gonion (Go) and LO (p = 0.008 and P = 0.005, respectively).
CONCLUSIONS: Patients with crooked noses, in particular, exhibit asymmetries in the upper and middle faces. The glabella in the upper face and the anterior nasal spine in the middle face are stable points, and the fact that the parameters derived from these two reference points are significant, when considered in conjunction with other significant parameters, strongly supports the aforementioned statement.
METHODS: 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 .
METHODS: The cohort of 57 patients who underwent septorhinoplasty surgery for aesthetic reasons between 2019 and 2022. Patients were categorized based on the type of nasal axis deviation. The analysis involved reviewing patients\' photographs and cone beam computed tomography images. We identified various anatomical landmarks and compared measurements across the groups.
RESULTS: Among the study population, 21 (36.8%) exhibited Type-I (linear) and 15 (26.3%) demonstrated Type-C nasal axis deviation, while no deviation was detected in 21 (36.8%) patients. Upon evaluating the upper face area, significant differences were found in the glabella-lateral orbit (G-LO) and rhinion-lateral orbit (Rh-LO) parameters (p = 0.002 and p < 0.001, respectively). A statistically significant difference was discovered in all three parameters between the three groups in the middle face area [glabella-zygion (G-Zy) p = 0.04, rhinion-zygion (Rh-Zy) P < 0.001, anterior nasal spine-zygion (ANS-Zy) p < 0.001)]. Further, a statistically significant difference was noted in the soft tissue parameters gonion (Go) and LO (p = 0.008 and P = 0.005, respectively).
CONCLUSIONS: Patients with crooked noses, in particular, exhibit asymmetries in the upper and middle faces. The glabella in the upper face and the anterior nasal spine in the middle face are stable points, and the fact that the parameters derived from these two reference points are significant, when considered in conjunction with other significant parameters, strongly supports the aforementioned statement.
METHODS: 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 .
摘要：
背景：本研究旨在使用客观方法探索面部不对称与弯曲鼻子之间的相关性。
方法：在2019年至2022年间，57例因美学原因接受鼻中隔成形术的患者队列。根据鼻轴偏曲的类型对患者进行分类。分析包括审查患者的照片和锥形束计算机断层扫描图像。我们确定了各种解剖标志，并比较了各组的测量结果。
结果：在研究人群中，21例（36.8%）表现为I型（线性），15例（26.3%）表现为C型鼻轴偏斜，21例(36.8%)患者未检出偏差。在评估上面部区域时，在glabella-横向轨道（G-LO）和rhinion-横向轨道（Rh-LO）参数中发现了显着差异（分别为p=0.002和p<0.001）。在面部中部区域中，三组之间的所有三个参数均存在统计学上的显着差异[glabella-zigion（G-Zy）p=0.04，rhinion-zigion（Rh-Zy）P<0.001，鼻前脊柱-zigion（ANS-Zy）p<0.001）]。Further,在软组织参数gonion(Go)和LO(分别为p=0.008和P=0.005)方面有统计学意义的差异.
结论：鼻子弯曲的患者，特别是,在上面和中间面表现出不对称性。上面部的眉间和中间面部的前鼻棘是稳定点，从这两个参考点得出的参数很重要，当与其他重要参数一起考虑时，强烈支持上述声明。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：在2019年至2022年间，57例因美学原因接受鼻中隔成形术的患者队列。根据鼻轴偏曲的类型对患者进行分类。分析包括审查患者的照片和锥形束计算机断层扫描图像。我们确定了各种解剖标志，并比较了各组的测量结果。
结果：在研究人群中，21例（36.8%）表现为I型（线性），15例（26.3%）表现为C型鼻轴偏斜，21例(36.8%)患者未检出偏差。在评估上面部区域时，在glabella-横向轨道（G-LO）和rhinion-横向轨道（Rh-LO）参数中发现了显着差异（分别为p=0.002和p<0.001）。在面部中部区域中，三组之间的所有三个参数均存在统计学上的显着差异[glabella-zigion（G-Zy）p=0.04，rhinion-zigion（Rh-Zy）P<0.001，鼻前脊柱-zigion（ANS-Zy）p<0.001）]。Further,在软组织参数gonion(Go)和LO(分别为p=0.008和P=0.005)方面有统计学意义的差异.
结论：鼻子弯曲的患者，特别是,在上面和中间面表现出不对称性。上面部的眉间和中间面部的前鼻棘是稳定点，从这两个参考点得出的参数很重要，当与其他重要参数一起考虑时，强烈支持上述声明。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
