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[鼻偏曲及鼻中隔偏曲整形手术的临床评估——附268例报告]

[Clinical evaluation on the operation of the deviated nose and the deviated nasal septum with the plastic operation--report of 268 cases].

作者信息

Wang Gang, Liu Liu, Li Fang

机构信息

Department of Otolaryngology, the Eye Ear Nose and Throat Hospital, Urumuqi, 830002, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Apr;25(8):356-9.

Abstract

OBJECTIVE

To explore the feasibility of combination plastic operation on the deviation nose and the deviation nasal septum.

METHOD

Design the butterfly cut from the root of the columella nasi to the middle part of each alae nasi. So that the nasal septum, the cartilage septodorsalis and the nose bones could be exposed well. It was key to separate and fix the arch keystone area in the plastic operation of the deviation nose. It was key to separate septal cartilage of nose from the perpendicular plate of ethmoid bone and maxilla nose pun in plastic operation of the deviation nasal septum. Pack the vaseline oil gauze or chitosan reshaping PVA into two side of nasal cavity in order to internal fixation of nasal cavity and prevent the hematoma of nasal septum. The vaseline oil gauze can be pull out on the morning and on the afternoon 24 hours after which can reduce the pain. The external fixation of nasal cavity is not important to which can be omitted.

RESULT

Two hundred and sixty-eight cases after 6 to 24 months follow-up. Two hundred and twenty-eight cases were satisfied. None was unsatisfied.

CONCLUSION

The combination plastic operation on the deviation nose and the deviation nasal septum, could cope with both the beauty problem and reconstruct the nose function.

摘要

目的

探讨鼻中隔偏曲与鼻畸形联合整形手术的可行性。

方法

设计从鼻小柱根部至双侧鼻翼中部的蝶形切口,充分暴露鼻中隔、鼻中隔背侧软骨及鼻骨。鼻畸形整形手术中分离并固定鼻拱顶区是关键;鼻中隔偏曲矫正手术中分离鼻中隔软骨与筛骨垂直板及上颌鼻嵴是关键。双侧鼻腔填塞凡士林油纱或壳聚糖塑形PVA以行鼻腔内固定并预防鼻中隔血肿形成。凡士林油纱可于术后24小时上午及下午抽出,可减轻疼痛。鼻腔外固定并非必需,可省略。

结果

268例患者随访6至24个月。228例患者满意,无不满意病例。

结论

鼻中隔偏曲与鼻畸形联合整形手术既能解决美观问题,又能重建鼻功能。

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