鼻内镜下鼻外形与鼻腔功能Ⅰ期重建疗效分析

谢立锋; 朱丽; 鲁兆毅; 刘畅; 徐驰宇; 年福红

doi:10.13201/j.issn.1001-1781.2016.16.004

鼻内镜下鼻外形与鼻腔功能Ⅰ期重建疗效分析

- 1. 北京大学第三医院耳鼻咽喉头颈外科(北京, 100191);
- 2. 北京大学第三医院成型科

详细信息

通讯作者: 朱丽,E-mail:prlizhu@qq.com

中图分类号: R765.9

收稿日期: 2016-04-18

Efficacy analysis of endoscopic stage Ⅰ reconstruction of nasal contour and function

- 1. Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, 100191, China;
- 2. Department of Plastic Surgery, Peking University Third Hospital

More Information

Corresponding author: ZHU Li, E-mail: prlizhu@qq.com

Received Date: 18 April 2016

摘要

摘要: 目的:评价鼻外伤后鼻内镜下鼻外形与鼻腔功能Ⅰ期重建手术的疗效。方法:选取严重鼻外伤、鼻骨骨折合并鼻中隔偏曲患者20例,伤后7~30 d入院行鼻内镜下外形与鼻腔功能Ⅰ期重建手术。结果:术后患者对鼻外形畸形及鼻塞严重程度VAS评分明显降低,3D立体成像测量歪鼻偏斜距离明显减小,鼻腔通气异常组患者术后患侧鼻腔容积及最小横截面积较术前增加,差异均有统计学意义(P<0.05)。结论:鼻内镜下外形与鼻腔功能Ⅰ期重建手术疗效好,对鼻部外形及通气功能改善明显,患者满意。
- 鼻外伤 /
- 鼻骨骨折 /
- 鼻中隔 /
- 外科手术
Abstract: Objective:The aim of this study is to assess the effectiveness of endoscopic stage Ⅰ reconstruction of nasal contour and function.Method:Twenty subjects with severe nasal trauma, nasal bone fracture and deviation of nasal septum were selected.The surgeries of stage Ⅰ reconstruction of nasal contour and function were proceeded on 7 to 30 days after trauma.Result:The VAS scores of deformity of nasal contour and severity of nasal blockage assessed by patients decreased significantly after operation. Deflection distance of nasal dorsum measured by 3D imaging decreased significantly. In patients with abnormal nasal ventilation, the volume and the minimal cross-section area of abnormal nasal cavity increased significantly(P<0.05).Conclusion:The effectiveness of endoscopic stage Ⅰ reconstruction of nasal contour and function was excellent. The patients were satisfied with improvement of nasal contour and ventilation.
- nasal trauma /
- nasal bone fractures /
- nasal septum /
- surgical procedures, operative

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