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Anatomy of the Alar Lobule in Korean Nose  

Chang, Hyun (Department of Plastic Surgery, Korea University Collage of Medicine)
Han, Seung-Kyu (Department of Plastic Surgery, Korea University Collage of Medicine)
Kim, Sang-Bum (Department of Plastic Surgery, Korea University Collage of Medicine)
Kim, Woo-Kyung (Department of Plastic Surgery, Korea University Collage of Medicine)
Publication Information
Archives of Plastic Surgery / v.33, no.3, 2006 , pp. 269-275 More about this Journal
Abstract
This study is to provide details of the unique anatomical features on the alar lobule region in Korean nose. We hypothesized that the anatomy of this area differs according to the shape of the alar lobule. Based on the prominence and roundness of alar lobules, they were classified into horizontal and vertical types. A total of 20 fresh cadaver noses(10 for each type) were dissected. The anatomical differences between the horizontal and vertical types were investigated by gross and histologic studies. The alar lobule is composed of three layers, i.e., external skin, muscle, and vestibular skin. Profound differences between the two alar lobule types were evident in terms of the volume of the dilator naris anterior muscle, the insertion of the dilator naris posterior muscle, and the thickness of the external skin at the lateral end of the alar circumference. The horizontal type has a greater volume of dilator naris anterior muscle, an additional insertion of the dilator naris posterior muscle, and thicker external skin at the lateral end of the alar circumference than the vertical type. The Korean nose differs anatomically and morphologically from the Caucasian nose. This study shows that there are anatomic differences between the horizontal and vertical types of alar lobules in Korean nose.
Keywords
Anatomy; Alar lobule; Korean; Nose;
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1 Hwang TS, Kang HS: Morphometry of nasal bases and nostrils in Koreans. Ann Anat 185: 189, 2003   DOI   ScienceOn
2 Patel JC, Fletcher ]W, Singer D, Sullivan P, Weinzweig J: An anatomic and histologic analysis of the alar-facial crease and the lateral crus. Ann Plast Surg 52: 371, 2004   DOI   ScienceOn
3 Letourneau A, Daniel RK: The superficial musculoaponeurotic system of the nose. Plast Reconstr Surg 82: 48, 1988   DOI   ScienceOn
4 Gunter JP, Rohrich RJ: Correction of the pinched nasal tip with alar spreader grafts. Plast Reconstr Surg 90: 821, 1992   DOI   ScienceOn
5 Shirakabe Y, Suzuki Y, Lam SM: A systematic approach to rhinoplasty of the Japanese nose: a thirty-year experience. Aesthetic Plast Surg 27: 221, 2003   DOI   ScienceOn
6 Natvig P, Sether LA, Dingman RO: Skin abuts skin at the alar margins of the nose. Ann Plast Surg 2: 428, 1979   DOI   ScienceOn
7 Matory WE Jr, Falces E: Non-Caucasian rhinoplasty: a 16-year experience. Plast Reconstr Surg 77: 239, 1986   DOI   ScienceOn
8 Yotsuyanagi T, Yamashita K, Urushidate S, Yokoi K, Sawada Y: Nasal reconstruction based on aesthetic subunits in Orientals. Plast Reconstr Surg 106: 36, 2000   DOI   ScienceOn
9 Guyuron B, Behmand RA: Nasal tip sutures part II: the interplays. Plast Reconstr Surg 112: 1130, 2003   DOI   ScienceOn
10 Watanabe K: New ideas to improve the shape of the ala of the Oriental nose. Aesthetic Plast Surg 18: 337, 1994   DOI   ScienceOn
11 Becker DG, Weinberger MS, Greene BA, Tardy ME Jr: Clinical study of alar anatomy and surgery of the alar base. Arch Otolaryngol Head Neck Surg 123: 789, 1997   DOI   ScienceOn
12 Clark MP, Greenfield B, Hunt N, Hall-Craggs M, McGrouther DA: Function of the nasal muscles in normal subjects assessed by dynamic MRI and EMG: its relevance to rhinoplasty surgery. Plast Reconstr Surg 101: 1945, 1998   DOI   ScienceOn
13 Ali-Salaam P, Kashgarian M, Davila J, Persing J: Anatomy of the Caucasian alar groove. Plast Reconstr Surg 110: 261, 2002   DOI   ScienceOn
14 Ohki M, Naito K, Cole P: Dimensions and resistances of the human nose: racial differences. Laryngoscope 101: 276, 1991