Watson Deborah, Barkdull Gregory
Division of Otolaryngology-Head and Neck Surgery, UCSD School of Medicine, 3350 La Jolla Village Dr., 112-C, San Diego, CA 92161, USA.
Otolaryngol Clin North Am. 2009 Jun;42(3):483-93. doi: 10.1016/j.otc.2009.03.011.
Initial management of a septal perforation involves medical intervention, but there are several surgical options available. Deciding to proceed with a surgical repair is dependent on the etiology of the defect, how the symptoms impact the patient, the extent of damage or impending destruction to the nasal support, and the absence of any active disease process. The literature describes several methods for septal perforation repair; each has its technical challenges because of the tenuous nature of the tissues and limited surgical exposure of the area. This article reviews the diagnostic work-up of septal perforations, the medical management, and the surgical treatment options, with emphasis placed on the open rhinoplasty approach.
鼻中隔穿孔的初始处理包括医学干预，但也有几种手术选择。决定进行手术修复取决于缺损的病因、症状对患者的影响程度、鼻支撑结构的损伤范围或即将发生的破坏情况，以及是否不存在任何活跃的疾病过程。文献中描述了几种鼻中隔穿孔修复方法；由于组织质地脆弱且该区域手术暴露有限，每种方法都有其技术挑战。本文回顾了鼻中隔穿孔的诊断检查、医学处理和手术治疗选择，重点介绍开放式鼻整形术方法。
