Department of Otolaryngology, Hannover Medical School, Carl Neuberg Str. 1, 30625, Hannover, Germany.
Eur Arch Otorhinolaryngol. 2012 Mar;269(3):861-5. doi: 10.1007/s00405-011-1759-8. Epub 2011 Sep 10.
The surgical care of large nasal septal defects is often not feasible. As an alternative method, these defects may be closed by nasal septal buttons. Although these buttons should be replaced on a regular basis for cleaning purposes, this procedure is usually painful and causes discomfort to the patient. Moreover, it could cause the nasal septal defects to become enlarged. In a retrospective observational study we analyzed a new method, which combines the advantages of an individually made nasal septal button with a magnet-based technique. After casts of the nasal septal defects were taken under general anaesthesia and magnet-based nasal septal buttons were custom-made, patients were fitted with these devices. The results were evaluated using a questionnaire developed specifically for this purpose. All patients reported that the replacement procedure was being less uncomfortable. The insertion or removal of the magnet-based nasal septal button was not reported as causing particular discomfort in these patients. A precise, tight fit was documented in all cases. The general characteristics of nasal septal buttons are, however, also present in this procedure. Individually made magnet-based nasal septal buttons are practicable and a less uncomfortable alternative method in the treatment of large inoperable nasal septal defects.
对于大型鼻中隔缺损的手术治疗往往不可行。作为替代方法，可以通过鼻中隔纽扣来关闭这些缺损。虽然这些纽扣需要定期更换以进行清洁，但此过程通常会引起疼痛并使患者感到不适。此外，它可能导致鼻中隔缺损增大。在一项回顾性观察研究中，我们分析了一种新方法，该方法将个体化鼻中隔纽扣的优点与基于磁体的技术相结合。在全身麻醉下对鼻中隔缺损进行铸型并定制基于磁体的鼻中隔纽扣后，为患者佩戴这些装置。使用专门为此目的开发的问卷评估结果。所有患者均报告称更换过程的不适感有所减轻。在这些患者中，插入或取出基于磁体的鼻中隔纽扣并未引起特别的不适。所有病例均记录到了精确、紧密的贴合。然而，这种方法也存在与常规鼻中隔纽扣相同的一般特征。个体化基于磁体的鼻中隔纽扣在治疗无法手术的大型鼻中隔缺损方面是可行的，且是一种不适感较轻的替代方法。
