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鼻瓣膜塌陷的诊断与治疗。

The diagnosis and treatment of nasal valve collapse.

作者信息

Wittkopf Maria, Wittkopf Justin, Ries W Russell

机构信息

Otolaryngology Head and Neck Surgery, Vanderbilt University Medical Center, 7209 Medical Center East, South Tower 1215, 21st Avenue South Nashville, TN 37232-8605, USA.

出版信息

Curr Opin Otolaryngol Head Neck Surg. 2008 Feb;16(1):10-3. doi: 10.1097/MOO.0b013e3282f396ef.

Abstract

PURPOSE OF REVIEW

The nasal valve is a complex structure that can be weakened from effects of aging, surgery, and trauma. A variety of methods have been described to strengthen the nasal valve region and prevent or treat nasal obstruction, such as batten grafts, spreader grafts, butterfly grafts, flare sutures, and suspension sutures. They will be briefly discussed here, but the intent of this review is to highlight the new developments in the treatment nasal valve collapse that have appeared in the literature over the last few years.

RECENT FINDINGS

Various surgical techniques and approaches for addressing nasal valve collapse have been described in the literature. Still, new techniques continue to be developed and old techniques continue to be improved upon. More specifically, minimally invasive and endoscopic approaches are being developed and improvements are made on the use of graft materials. Finally, alternatives to surgery are explored for the treatment of nasal valve collapse.

SUMMARY

The aim of the new advances in the treatment of nasal valve collapse is to maximize the benefit from the surgical intervention while minimizing disruption of the normal anatomy and physiology of the nose. Another trend in the new advances explores the nonsurgical options for the treatment of nasal valve collapse.

摘要

综述目的

鼻瓣膜是一个复杂的结构,会因衰老、手术和外伤的影响而被削弱。已经描述了多种加强鼻瓣膜区域并预防或治疗鼻阻塞的方法,如鼻小柱支撑移植物、扩鼻移植物、蝶形移植物、鼻翼缘缝线和悬吊缝线。本文将对它们进行简要讨论,但本综述的目的是强调过去几年文献中出现的治疗鼻瓣膜塌陷的新进展。

最新发现

文献中描述了各种治疗鼻瓣膜塌陷的手术技术和方法。尽管如此,新技术仍在不断发展,旧技术也在不断改进。更具体地说,正在开发微创和内镜方法,并在移植物材料的使用方面取得了进展。最后,探索了治疗鼻瓣膜塌陷的手术替代方法。

总结

治疗鼻瓣膜塌陷新进展的目标是在最大限度减少对鼻子正常解剖结构和生理功能破坏的同时,使手术干预的益处最大化。新进展的另一个趋势是探索治疗鼻瓣膜塌陷的非手术选择。

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