Endoscopic assisted nasal septal deflection cartilage shaping for simultaneous rhinoplasty
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摘要: 目的 探讨利用自体鼻中隔偏曲软骨塑形后同期进行外伤性歪鼻矫形手术的临床应用价值。方法 选取12例临床确诊住院手术的陈旧外伤性歪鼻伴鼻中隔偏曲患者为研究对象, 在内镜辅助下做鼻中隔鼻阈倒L切口, 沿切口向上潜行分离建立鼻背畸形移植填充区; 之后利用切取的鼻中隔软骨塑形后植入到偏曲凹陷的鼻背区加以歪鼻矫形, 满意后行鼻外固定。结果 术后患者对手术效果满意。随访1年以上, 未再次发生鼻塞、鼻中隔穿孔及鞍鼻畸形等并发症。结论 自体鼻中隔偏曲软骨塑形后同期进行外伤性歪鼻矫形手术方法简单, 易操作, 取材方便; 既解决了鼻中隔偏曲影响鼻通气问题, 同时也使歪鼻得以矫形。此方法适合广大基层医院推广应用。Abstract: Objective To investigate the clinical application value of orthopedic surgery for traumatic crooked nose after autologous nasal septum deflected cartilage shaping.Methods Twelve patients with obsolete traumatic nasal septum deviation and nasal septum deviation were selected. The nasal septal nasal threshold inverted L incision was assisted by endoscopy, and the nasal dorsal deformity filling area was established along the incision. The excised nasal septal cartilage was shaped and implanted in the dorsal nasal area of the deviated depression to correct the nasal distortion, and the external nasal fixation was performed after satisfaction.Results The patients were satisfied with the operation results. After a follow-up of more than 1 year, no complications occurred.Conclusion This method is simple, easy to operate; solves the problem of nasal septum deviation affecting nasal ventilation, allows the deformed nose to be corrected. This method is suitable for popularization and application in the majority of grassroots hospitals.
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Key words:
- septal cartilage /
- crooked nose /
- rhinoplasty
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