Jones N S
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Nottingham, UK.
J Laryngol Otol. 1999 May;113(5):405-12. doi: 10.1017/s002221510014410x.
This article describes the principles which enable a bent septum to be corrected without the loss of tip or supratip support. These principles centre on the need for two points of fixation in order to provide adequate stability for the septal cartilage. These points include the maxillary spine, the vertical plate of the ethmoid bone (at least 4 mm in continuity with the septal cartilage), the vomer, the maxillary crest or suspension from the upper lateral cartilages. A columella pocket offers additional support but cannot be regarded as a primary anchoring point. An adequate height from the maxillary spine to the tip (approximately 28 mm) and dorsal length (24 mm) of cartilage are also needed to support the nasal dorsum. The main strategy for correcting a septal bend which is apparent externally, or a supratip depression is described and centres on the use of cartilage grafts to disguise any assymmetry.
本文描述了在不损失鼻尖或鼻 tip 上支撑的情况下矫正鼻中隔弯曲的原则。这些原则的核心是需要两个固定点，以便为鼻中隔软骨提供足够的稳定性。这些点包括上颌棘、筛骨垂直板（与鼻中隔软骨连续至少4毫米）、犁骨、上颌嵴或来自上外侧软骨的悬吊。鼻小柱袋提供额外的支撑，但不能被视为主要的锚固点。还需要从上颌棘到鼻尖有足够的高度（约28毫米）和软骨的背侧长度（24毫米）来支撑鼻背。描述了矫正外部明显的鼻中隔弯曲或鼻 tip 上凹陷的主要策略，其核心是使用软骨移植来掩盖任何不对称性。
