Anthropometric Parameters for Nose Evaluation and Nasal Surgery Planning

Area of Science:

• Plastic Surgery
• Facial Aesthetics
• Anthropometry

Background:

• Current rhinoplasty planning heavily relies on subjective esthetic evaluations.
• A lack of validated, reliable methods hinders objective facial and nasal esthetic quantification.
• This deficiency impacts accurate treatment planning for rhinoplasty procedures.

Purpose of the Study:

• To systematically review existing literature on anthropometric measurements for rhinoplasty.
• To identify and evaluate commonly used points, distances, and angles in nasal surgery planning.
• To assess the standardization and reliability of current anthropometric methods in rhinoplasty.

Main Methods:

• A comprehensive literature search of anthropometric studies related to facial and nasal analysis was conducted.
• Studies published between 1987 and 2018 were included, with 138 papers selected after rigorous statistical analysis.
• All selected papers underwent a complete evaluation of their methodologies and findings.

Main Results:

• A total of 198 points, 336 distances, and 199 angles were identified in the reviewed literature.
• After applying frequency thresholds (over 25% citation), a refined set of 49 points, 77 distances, and 11 angles was established.
• These selected measurements were further categorized by anatomical region, distinguishing between bone and soft tissue structures.

Conclusions:

• Significant inhomogeneity and a lack of standardized anthropometric measurement systems for nasal analysis were observed.
• Variations in study origins contribute to the lack of universal parameters in rhinoplasty planning.
• The study underscores the critical need for developing and adopting reliable, standardized methods for effective nose surgery planning.