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鼻中隔和鼻甲手术。

Surgery of the nasal septum and turbinates.

作者信息

Matthias Christoph

机构信息

ENT Department, Grosshadern Medical Center, Ludwig-Maximilians-University, Munich, Germany.

出版信息

GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc10. Epub 2008 Mar 14.

PMID:22073086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3199838/
Abstract

The following article presents nasal septum and turbinate surgery. First an overview with special consideration of the anatomical and physiological background is given followed by indications for surgical procedures. Key steps of the gold standard procedure first described by Cottle and common variations are presented. Furthermore, some techniques dealing with special problems of the septumplasty are discussed followed by an overview on complications and long term results. However, it should be mentioned that studies on surgical procedures of the nasal septum are still not sufficient as higher evidence levels are very rare. Within a separated chapter techniques for closure of septum perforations are presented and indications particularly in the background of the standard procedure of bridge flaps forwarded by Schultz-Coulon are discussed. The second part focusses on turbinate surgery. Accordingly, anatomical and physiological basics are presented followed by indications for surgical procedures and the surgical steps of different procedures as well as postsurgical treatment and long term results.

摘要

以下文章介绍鼻中隔和鼻甲手术。首先对其进行概述，并特别考虑解剖学和生理学背景，随后介绍手术指征。文中呈现了由科特尔首次描述的金标准手术的关键步骤以及常见变体。此外，还讨论了一些处理鼻中隔成形术特殊问题的技术，接着概述了并发症和长期效果。然而，应当提及的是，由于较高证据水平的研究非常罕见，关于鼻中隔手术的研究仍然不足。在单独的一章中介绍了鼻中隔穿孔闭合技术，并讨论了其指征，特别是在舒尔茨 - 库隆提出的桥状皮瓣标准手术背景下的指征。第二部分聚焦于鼻甲手术。相应地，介绍了解剖学和生理学基础，随后是手术指征、不同手术的步骤以及术后治疗和长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/8a966f94e141/CTO-06-10-g-010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/4e6ff3238cbe/CTO-06-10-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d822a94c0f3d/CTO-06-10-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d5b308c8a900/CTO-06-10-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/f82078f0a2da/CTO-06-10-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/ab588720df85/CTO-06-10-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d4c9457aace3/CTO-06-10-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/cac4c443594c/CTO-06-10-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/c94889eb31b8/CTO-06-10-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/f06c9c4586a3/CTO-06-10-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/8a966f94e141/CTO-06-10-g-010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/4e6ff3238cbe/CTO-06-10-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d822a94c0f3d/CTO-06-10-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d5b308c8a900/CTO-06-10-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/f82078f0a2da/CTO-06-10-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/ab588720df85/CTO-06-10-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/d4c9457aace3/CTO-06-10-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/cac4c443594c/CTO-06-10-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/c94889eb31b8/CTO-06-10-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/f06c9c4586a3/CTO-06-10-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b07/3199838/8a966f94e141/CTO-06-10-g-010.jpg

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2
Nasal air conditioning in patients before and after septoplasty with bilateral turbinoplasty.双侧鼻甲成形术鼻中隔成形术前后患者的鼻腔空气调节
Laryngoscope. 2006 Jun;116(6):890-4. doi: 10.1097/01.mlg.0000201995.02171.ea.
3
[The custom made septal button].[定制的鼻中隔纽扣]
Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies.
下鼻甲肥大的手术干预：当前技术和方法的全面综述。
Int J Environ Res Public Health. 2021 Mar 26;18(7):3441. doi: 10.3390/ijerph18073441.
4
Functional and Aesthetic Factors Associated with Revision of Rhinoplasty.与鼻整形修复相关的功能和美学因素。
Plast Reconstr Surg Glob Open. 2018 Sep 5;6(9):e1884. doi: 10.1097/GOX.0000000000001884. eCollection 2018 Sep.
5
Evidence and evidence gaps in therapies of nasal obstruction and rhinosinusitis.鼻阻塞和鼻窦炎治疗中的证据及证据空白
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016 Dec 15;15:Doc06. doi: 10.3205/cto000133. eCollection 2016.
6
[Significance of the sinus x-ray prior to septoplasty].鼻中隔成形术前鼻窦X光检查的意义
HNO. 2013 Jul;61(7):651-5. doi: 10.1007/s00106-013-2671-x.
Laryngorhinootologie. 2006 May;85(5):323-5. doi: 10.1055/s-2006-941635.
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Scanning electron microscopy of ciliae and saccharine test for ciliary function in septal deviations.鼻中隔偏曲中纤毛的扫描电子显微镜检查及纤毛功能的糖精试验
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[Comments on septoplasty].[关于鼻中隔成形术的评论]
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Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy.射频鼻甲成形术与传统手术技术治疗下鼻甲肥大的有效性和安全性比较。
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