Effect of midfacial asymmetry on nasal axis deviation: indications for use of the subalar graft.
OBJECTIVE
To test the hypothesis that midfacial asymmetry specifically relevant to nasal tip deviation will be reflected in the measured soft-tissue attachments of the ala to the face.


METHODS
Retrospective photographic analysis of 35 consecutive patients seeking functional or aesthetic nasal surgery regardless of cause.


RESULTS
Nasal axis had a significant correlation with the alar-facial angle on base view photographs (P < .001) irrespective of cause (traumatic vs congenital). However, there was no significant correlation between alar facial angle on anteroposterior view (frontal) with nasal axis and no correlation between frontal and basal angles.


CONCLUSIONS
Soft-tissue analysis demonstrates a relationship between nasal axis deviation and lower midfacial asymmetry or hypoplasia.
Yao
Francisca
F
Department of Otolaryngology, State University of New York, Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203, USA.
Lawson
William
W
Westreich
Richard W
RW
D002508:Cephalometry; D005145:Face; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000002:abnormalities / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D010781:Photography; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D019737:Transplants