Blind Anna, Hulterström Antti, Berggren Diana
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Umeå, 901 85, Umeå, Sweden.
Eur Arch Otorhinolaryngol. 2009 Jan;266(1):65-9. doi: 10.1007/s00405-008-0690-0. Epub 2008 May 6.
We present the fabrication and clinical use of a custom-made nasal septal silicone button that can be inserted transnasally into a perforation of the nasal septum by the physician as an office procedure, or by the patients themselves in their home. Questionnaire and retrospective chart review were used to evaluate the efficacy of this prosthesis as treatment of disturbing symptoms from nasal septal perforation. The study included 41 patients (27 women) with a nasal septal perforation. The follow-up time ranged from 1 to 9 years. Symptoms investigated were nasal obstruction, crusting, feeling of dryness, pain, epistaxis, and whistling from the nose. The degree of experienced symptoms was estimated on a VAS-scale. The questionnaire was answered by 37 of the 41 patients. Fourteen patients were still using their button at the follow-up. Treatment with the prosthesis greatly diminished all the investigated symptoms. Also, use of the silicone button resulted in an improved quality of life. No case of infection was noted in connection with use of the silicone prosthesis.
我们介绍了一种定制的鼻中隔硅胶纽扣的制作方法及其临床应用。该纽扣可由医生在门诊操作时经鼻插入鼻中隔穿孔部位，也可由患者在家自行插入。通过问卷调查和回顾性病历审查来评估这种假体治疗鼻中隔穿孔引起的不适症状的疗效。该研究纳入了41例鼻中隔穿孔患者（27例女性）。随访时间为1至9年。所调查的症状包括鼻塞、结痂、干燥感、疼痛、鼻出血和鼻哨音。症状的严重程度通过视觉模拟量表（VAS）进行评估。41例患者中有37例回答了问卷。随访时有14例患者仍在使用他们的纽扣。使用该假体治疗后，所有所调查的症状都大大减轻。此外，使用硅胶纽扣还改善了生活质量。使用硅胶假体未发现感染病例。
