Kantas Ilias, Balatsouras Dimitrios G, Papadakis Chariton E, Marangos Nicolaos, Korres Stavros G, Danielides Vassilios
Department of Otolaryngology, G Genimmatas General Hospital, Thessaloniki, Greece.
J Otolaryngol Head Neck Surg. 2008 Apr;37(2):154-9.
The aim of this study was to evaluate the effectiveness, indications, and contraindications of the extracorporeal approach in treating a severely deviated nose.
Sixty-four patients operated on for aesthetic correction of a severely deviated nose were studied. Forty-six of them were first operations and 18 were revision cases. The surgical procedure of choice was the closed technique. Septal cartilage was prepared and then dislocated, followed by external alignment and reimplantation. Hump reduction with lateral osteotomies and, occasionally, medial dislocation of nasal bones was carried out.
Cosmetic results were satisfactory in all first operation cases. In 11 of the 18 revision cases, septal preparation was impossible; in 2, septal sagging was observed; and in 1, perforation was noted.
Extracorporeal septoplasty is an effective, safe, and reliable technique, especially for twisted noses undergoing surgery for the first time. However, it is strongly contraindicated in a revised deviated nose.
本研究旨在评估体外入路治疗严重鼻中隔偏曲的有效性、适应证和禁忌证。
对64例因严重鼻中隔偏曲行美容矫正手术的患者进行研究。其中46例为初次手术，18例为翻修病例。首选的手术方法是闭合技术。制备鼻中隔软骨，然后使其脱位，接着进行外部复位和重新植入。采用外侧截骨术降低鼻背高度，偶尔对鼻骨进行内侧脱位。
所有初次手术病例的美容效果均令人满意。18例翻修病例中，11例无法进行鼻中隔制备；2例观察到鼻中隔下垂；1例出现穿孔。
体外鼻中隔成形术是一种有效、安全且可靠的技术，尤其适用于首次接受手术的扭曲鼻。然而，对于翻修的鼻中隔偏曲鼻，强烈禁忌使用该技术。
