ORAL MAXILLO-FACIAL Surgical Procedure
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The nostril could be conveniently divided into several subunits: the dorsum, the sidewalls (paired), the hemilobules (paired), the tender triangles (paired), alae (paired), and the columella. Viewing the exterior nasal anatomy by its subunits is important because defects that span a complete subunit are normally repaired with reconstruction of that subunit. Burget suggests replacement of the complete subunit if greater than 50% of the subunit is misplaced throughout resection.3 Aesthetically, the nose—from the nasion (nasofrontal junction) to the columella-labial junction—ideally occupies one third of the face in the vertical dimension.
From ala to ala, it should ideally occupy one fifth of the horizontal dimension of the face. The nasofrontal angle between the frontal bone and nasion is often 120° and slightly more acute in males than in females. The nasofacial angle, or the slope of the nostril in contrast with the airplane of the face, is approximately 30-40°. The nasolabial angle between the columella and philtrum is about 90-95° in males and 100-105° in females.
On profile view, normal columella show, ie, the height of the nasal aperture seen, is 2-four mm. The dorsum must be straight. From below, the alar base kinds an isosceles triangle, 코인카지노 with the apex at the infratip lobule simply beneath the tip. Applicable projection of the nasal tip, or the space of the tip from the face, is judged by utilizing the Goode rule. Tip projection ought to be 55-60% of the distance between the nasion and tip-defining point.
A columellar double break could also be present, marking the transition between the intermediate crus of the lower lateral cartilage and the medial crus. Nostril anatomy.