Tasca Ignazio, Compadretti Giacomo Ceroni
Ear, Nose, and Throat Department-AUSL Imola, Castel San Pietro Terme (BO), Italy.
Am J Rhinol. 2004 Jan-Feb;18(1):47-51.
The authors present the results of a long-term follow-up after an immediate reduction of nasal septum luxation in newborn infants.
Forty-nine children, who underwent a treatment for septal dislocation within 48 hours after birth, were reexamined in 2002 at a mean age of 13.2 years (range, 10-17 years). The examination was performed through inspection of the nasal pyramid, anterior rhinoscopy, nasal endoscopy, rhinomanometry, and acoustic rhinometry.
Anatomic and functional findings showed satisfactory results for all children affected by septal dislocation. Three patients presenting irreplaceable septal-pyramidal deformity had no spontaneous reduction at 7-, 10-, and 11-year follow-ups and thus required surgical intervention.
Considering the simplicity and the safety of the reduction maneuver, the importance of early detection and treatment of neonatal septal dislocations is stressed. This is the longest follow-up study reported in international literature to date.
作者介绍了新生儿鼻中隔脱位立即复位后的长期随访结果。
对49例出生后48小时内接受鼻中隔脱位治疗的儿童于2002年进行复查，平均年龄13.2岁（范围10 - 17岁）。检查通过鼻锥体检查、前鼻镜检查、鼻内镜检查、鼻阻力测量和鼻声反射测量进行。
解剖和功能检查结果显示，所有受鼻中隔脱位影响的儿童效果均令人满意。3例出现不可复位的鼻中隔锥体畸形的患者在7年、10年和11年随访时未自发复位，因此需要手术干预。
考虑到复位操作的简单性和安全性，强调了早期发现和治疗新生儿鼻中隔脱位的重要性。这是迄今为止国际文献报道的最长的随访研究。
