Corey Christina L, Most Sam P
Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA.
Otolaryngol Clin North Am. 2009 Jun;42(3):567-78. doi: 10.1016/j.otc.2009.03.002.
The sequelae of trauma to the nose include nasal deformity and nasal obstruction that can have a long-term negative impact on patient quality of life. Successful management of posttraumatic nasal obstruction relies on a detailed history, careful analysis, and accurate diagnosis. Dividing the nose into horizontal thirds assists in preoperative analysis as well as surgical treatment. Adequate treatment of posttraumatic nasal obstruction must address deflection of the bony nasal pyramid, septal deformities (especially caudal or dorsal), turbinate hypertrophy, and incompetence of internal and external nasal valves. Treatment must balance the seemingly disparate goals of re-establishing structure, improving contour and esthetics, as well as restoring the nasal airway.
鼻外伤的后遗症包括鼻畸形和鼻塞，这会对患者的生活质量产生长期负面影响。创伤后鼻塞的成功治疗依赖于详细的病史、仔细的分析和准确的诊断。将鼻子分为水平三等分有助于术前分析和手术治疗。创伤后鼻塞的充分治疗必须解决鼻骨锥体偏斜、鼻中隔畸形（尤其是尾侧或背侧）、鼻甲肥大以及鼻内和鼻外瓣膜功能不全的问题。治疗必须在重建结构、改善外形和美观以及恢复鼻气道这些看似不同的目标之间取得平衡。
