Functional Outcomes, Quantitative Morphometry, and Aesthetic Analysis of Articulated Alar Rim Grafts in Septorhinoplasty

摘要

Key PointsQuestionIs the articulated alar rim graft (AARG) associated with improved function of the nasal airway and aesthetic outcomes? FindingsThis case series of 90 patients examined the creation, placement, and function of the AARG. A retrospective review showed statistically significant improvement in Nasal Obstruction Symptom Evaluation Survey scores in patients who had AARGs placed; aesthetic analysis by raters on a Likert scale showed cosmetic improvement in patients with a deep alar margin furrow; and morphometric analysis of preoperative and postoperative nasal base shapes showed a trend toward a more equilateral ideal shape. MeaningThe AARG may improve the functional airway in select patients and the aesthetics of the nose in patients with a significant alar margin furrow or a pinched-appearing nasal tip.