Two surgical approaches for treating post-traumatic external nasal deformity and nasal septal deviation
-
摘要: 目的:探讨矫正外伤后歪鼻畸形伴鼻中隔偏曲的鼻功能重建方法,并评价其手术疗效。方法:①鼻内进路组:12例C型歪鼻者,采用鼻中隔半贯穿切口加双侧软骨间切口,使用鼻内镜操作;②鼻外进路组:5例S型和10例侧斜型歪鼻者,采用鼻小柱倒V形切口加双侧软骨下切口。矫正鼻中隔的同时,用自体鼻中隔软骨(骨)移植物进行鼻整形术。结果:2组患者术后均满意效果,随访均无症状复发和并发症等,术前、术后鼻阻力比较差异均有统计学意义(P<0.01),2组术前比较、术后比较、术前术后鼻阻力差值(d=术前-术后)比较差异均无统计学意义(P>0.05)。结论:自体鼻中隔软骨和骨是鼻美容整形术最安全且效果好的充填材料;同期鼻整形和鼻中隔矫正术可重建鼻功能并兼顾美观。Abstract: Objective:To investigate the nasal functional reconstructive methods for post-traumatic external nasal deformity and nasal septal deviation,and to evaluate the efficacy of surgical treatment.Method:① Twelve patients with C-type external nasal deviation were chosed undertaking L-shaped incision of the interface of left nasal septal skin and mucosa as well as bilateral inter-cartilaginous incision using endoscopy which named close group;②5 patients with S-type and 10 patients with side-skew-type external nasal deviation patients were chosed undertaking trans-columella inversed-V incision as well as bilateral infra-cartilaginous incision viewing directly which named open group.Both of the groups undertook nasal septal reconstruction surgery and rhinoplasty with autologous nasal septal cartilage grafts.Result:During the follow-up period,both groups were satisfied with the functional and aesthetic outcome,while with no recurrence of symptoms and complications.No significant differences were found between the two groups.Conclusion:Autologous nasal septal cartilage and bone are the best filling grafts for cosmetic rhinoplasty.Rhinoplasty with simultaneous nasal septum surgery can reconstruct nasal function and appearance.
-
[1] 王丰,京萨,周成勇,等.鼻内镜下鼻中隔整形鼻整形术再讨论[J].临床耳鼻咽喉头颈外科杂志,2010,24(15):693-696.
[2] 郑东学(著),尹卫民(译).现代韩国鼻整形术[M].沈阳:辽宁科学技术出版社,2005:35-35.
[3] 吴丹雯,范志宏.鼻尖整形的解剖及美学分析与应用[J].中华整形外科杂志,2007,23(2):168-170.
[4] BERNA U C,ESRA S,SUREYYA S,et al.Does theopen rhinoplasty incision decrease nasal projection[J].Eur Arch Otorhinolaryngol,2012,269:867-870.
[5] DANIEL R K.Diced cartilage grafts in rhinoplasty:cur-rent techniques and applications[J].Plast ReconstrSurg,2008,122:1883-1891.
[6] HONG R J,TAE B W.Recent advances in Asian rhino-plasty[J].Auris Nasus Larynx,2011,38:157-164.
[7] AHN J M.The current trend in augmentation rhinoplasty[J].Facial Plast Surg,2006,22:61-69.
[8] DANIEL R K.Diced cartilage grafts in rhinoplasty:cur-rent techniques and applications[J].Plast ReconstrSurg,2008,122:1883-1891.
[9] DANIEL R K.The role of diced cartilage grafts in rhino-plasty[J].Aesthet Surg,2006,26:209-213.
[10] PARKER P J.Grafts in rhinoplasty:alloplastic versusautogenous[J].Arch Otolaryngol Head Neck Surg,2000,126:558-561.
[11] CAKMAK O,ERGIN N T.The versatile autogenouscoastal cartilage graft in septorhinoplasty[J].Arch FacPlast Surg,2002,4:172-176.
[12] 翟立杰,主编.鼻功能重建外科学[M].北京:人民卫生出版社,2010:1-7.
计量
- 文章访问数: 56
- PDF下载数: 64
- 施引文献: 0