[鼻偏曲矫正及功能性鼻重建手术的临床评估]
[A clinical evaluation on correction of the deviated nose and functional reconstructive nasal surgery].
作者信息
Zhai Lijie, Xing Shuangchun
机构信息
Department of Otolaryngology, the First Hospital of Dalian Medical University, Dalian, 116011, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Sep;24(17):788-91.
OBJECTIVE
To explore an effective method of correction of deviated nose and functional reconstructive nasal surgery.
METHOD
Among 102 patients 32 cases were treated by septoplasty only, 53 cases were corrected by bony pyramid, 3 cases with severe asymmetry of bony pyramid by wedge resection and 14 cases by the implant of the septal or rip cartilage.
RESULT
The successful rate was 92.20% (92/102) with period of 6 to 24 months follow up.
CONCLUSION
Correcting the deviated nose to reconstruct its function with the intranasal approach and multiple techniques, can benefit both the cosmetology and nasal functional improvement. Rectifying the nasal septum, debonding the tissue of the deviated section completely, and fixing reconstructive structures are the keys for the successful result.
目的
探讨一种有效的鼻中隔偏曲矫正及鼻腔功能重建手术方法。
方法
102例患者中，单纯行鼻中隔成形术32例，行鼻骨锥体矫正53例，鼻骨锥体严重不对称3例行楔形切除术，14例行鼻中隔或鼻翼软骨植入术。
结果
随访6至24个月，成功率为92.20%（92/102）。
结论
采用鼻内入路及多种技术矫正鼻中隔偏曲以重建其功能，可兼顾美容与鼻腔功能改善。矫正鼻中隔、彻底松解偏曲部位组织并固定重建结构是取得成功结果的关键。
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