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Radix's Importance for Plastic Surgeons: A Descriptive Cross-Sectional Study
Gholamreza Motazedian1, Parsa Yazdanphanahi2, Ebtesam Jabbarinia3
1Burn and Wound Healing Research Centre, Plastic and Reconstructive Surgery Ward, Shiraz University of Medical Sciences, Shiraz, Iran.
World Journal of Plastic Surgery
|August 28, 2024
Summary
Pre-operative nasal analysis revealed significant variations in radix position and projection among Iranian patients. Understanding these unique anatomical features, including nasofrontal and nasofacial angles, is crucial for aesthetic rhinoplasty outcomes.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Anatomy
Background:
- Aesthetic nasal surgery requires precise pre-operative analysis.
- The radix, nasofrontal angle, and nasofacial angle are key determinants of nasal aesthetics.
- Understanding regional anatomical variations is essential for successful rhinoplasty.
Purpose of the Study:
- To measure pre-operative radix position and related facial angles in an Iranian population.
- To establish baseline data for nasal analysis in the region.
Main Methods:
- Profile view pre-operative images of 200 patients (100 male, 100 female) were analyzed.
- Radix location, radix projection, nasofrontal angle, and nasofacial angle were systematically recorded.
Main Results:
- Abnormal radix positions were observed in 32% of males and 48% of females.
- Normal radix projection was noted in only 36% of males and 18% of females.
- Mean nasofrontal angles were 119.2° (males) and 128.2° (females); mean nasofacial angles were 32.6° (males) and 29.8° (females).
Conclusions:
- Pre-operative nasal parameters in Iranian patients differ significantly from Western norms.
- Surgeons must conduct thorough individual assessments, considering radix position, projection, and facial angles.
- This data aids surgeons in achieving better aesthetic results in rhinoplasty for this population.

