Güven Erdem, Sakinsel Ali, Kuvat Samet Vasfi, Sağlam Ömer
Department of Plastic and Reconstructive Surgery, İstanbul Medical Faculty İstanbul, Turkey.
Ann Plast Surg. 2010 Nov;65(5):451-4. doi: 10.1097/SAP.0b013e3181d377ed.
Numerous techniques have been described to correct deviated nose deformities. This article discussed the Z-shaped asymmetric hump resection combined with unilateral osteotomy. Fifty-eight cases that we operated between 2003 and 2009 for deviated nose deformity were included in the study. In this study, septoplasty was performed in all patients, and hump was resected Z-shaped whereas osteotomy was carried out in a unilateral low to low fashion. Edema and periorbital ecchymosis were minimal on the nonosteotomy side in early postoperative period in all cases, and deviation was noted to be satisfactorily corrected in the late postoperative period. Three cases were reoperated in late stage for mucosal synechiae and 1 case for a new postoperative trauma (6.8% revision). Z-shaped asymmetric hump resection combined with unilateral osteotomy is one of the minimally traumatic methods that can safely be used to correct deviated nose.
已有多种技术被描述用于矫正歪鼻畸形。本文讨论了Z形不对称驼峰切除术联合单侧截骨术。本研究纳入了2003年至2009年间我们为歪鼻畸形患者实施手术的58例病例。在本研究中，所有患者均行鼻中隔成形术，驼峰采用Z形切除，截骨术采用单侧低位至低位方式进行。所有病例术后早期非截骨侧的水肿和眶周瘀斑均轻微，术后晚期可见偏斜得到满意矫正。3例患者后期因黏膜粘连再次手术，1例因术后新的创伤再次手术（翻修率6.8%）。Z形不对称驼峰切除术联合单侧截骨术是可安全用于矫正歪鼻的微创方法之一。
