歪鼻及鼻中隔偏曲矫正的2种进路

林颖; 于锋

doi:10.13201/j.issn.1001-1781.2013.14.009

歪鼻及鼻中隔偏曲矫正的2种进路

林颖,
于锋^,

- 广州医学院附属广州市耳鼻咽喉头颈外科医院耳鼻咽喉-头颈外科(广州, 510620)

详细信息

通讯作者: 于锋,E-mail:fishwoo@sina.com

中图分类号: R765.9

收稿日期: 2012-11-30

Two surgical approaches for treating post-traumatic external nasal deformity and nasal septal deviation

LIN Ying,
YU Feng^,

- Department of Otolaryngology-Head and Neck Surgery, the Affiliated Guangzhou Ear Nose Throat and Neck Surgery Hospital, Guangzhou Medical College, Guangzhou, 510620, China

More Information

Corresponding author: YU Feng, E-mail: fishwoo@sina.com

Received Date: 30 November 2012

摘要

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。
- 鼻整形术 /
- 自体软骨 /
- 鼻功能重建 /
- 鼻阻力
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.
- rhinoplasty /
- autologous cartilage /
- nasal functional reconstruction /
- nasal airway resistance

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