Triglia J M, Cannoni M, Pech A
Department of Otorhinolaryngology, C.H.U. Timone, University of Marseilles, France.
J Otolaryngol. 1990 Aug;19(4):274-8.
Following a series of septorhinoplasties performed on 28 children over a period of eight years as well as a review of the literature, the authors consider that the taboo on this sort of surgery would seem to have passed. Given that the septum plays a fundamental role in the projection of the nasomaxilliary complex, it is clear that certain surgical rules must be applied: the perichondrium must be left intact, no wide cartilaginous resections must be made, the areas of contact between the septum, the vomer, and the perpendicular lamina of the ethmoid must be reconstituted, and finally, the remodeled cartilage must be repositioned. For all of the above reasons, the external approach, performed on 20 children, is the best suited for this sort of operation. No serious long-term complications were observed.
在八年时间里对28名儿童进行了一系列鼻中隔成形术后，并查阅了相关文献，作者认为这种手术的禁忌似乎已经消除。鉴于鼻中隔在鼻上颌复合体的突出中起基本作用，显然必须应用某些手术规则：必须保持软骨膜完整，不得进行广泛的软骨切除，必须重建鼻中隔、犁骨和筛骨垂直板之间的接触区域，最后，重塑的软骨必须重新定位。基于上述所有原因，对20名儿童采用的外部入路最适合这种手术。未观察到严重的长期并发症。
