D'Andrea F, Brongo S, Rubino C
Institute of Plastic Surgery, Second University School of Medicine, Naples, Italy.
Scand J Plast Reconstr Surg Hand Surg. 2001 Sep;35(3):293-6. doi: 10.1080/028443101750523203.
To reconstruct the airways in the case of serious nasoseptal deviation it is preferable to remove the cartilaginous septum, reshape it, and put it back. This may be done through an open rhinoplasty approach with a transcolumellar scar resulting in wide visual access to the septal structures. As the transcolumellar scar may give problems in some cases, it might be helpful to use an extended paramarginal incision. A traditional open rhinoplasty approach was used in eight patients and the extended paramarginal incision technique in 19 patients. Two of the eight patients who had the open rhinoplasty technique developed unsatisfactory transcolumellar scars. Of the 19 patients who had paramarginal incisions no patient developed late problems. The paramarginal approach was superior to the traditional open rhinoplasty approach despite the slightly better visualisation with open rhinoplasty.
对于严重鼻中隔偏曲的病例，重建气道时，最好切除软骨性鼻中隔，重塑后再放回。这可以通过开放式鼻整形术来完成，会留下经鼻小柱的瘢痕，从而能广泛观察鼻中隔结构。由于经鼻小柱瘢痕在某些情况下可能会出现问题，采用延长的边缘旁切口可能会有所帮助。8例患者采用传统的开放式鼻整形术，19例患者采用延长的边缘旁切口技术。采用开放式鼻整形术的8例患者中有2例出现了不理想的经鼻小柱瘢痕。在采用边缘旁切口的19例患者中，没有患者出现后期问题。尽管开放式鼻整形术的可视化效果稍好，但边缘旁切口方法优于传统的开放式鼻整形术。
