Konaklar Mah. Akasyalı Sk. No :10 4.Levent/Beşiktaş, İstanbul, Turkey.
J Plast Reconstr Aesthet Surg. 2012 Jun;65(6):739-46. doi: 10.1016/j.bjps.2011.11.045. Epub 2011 Dec 30.
Permanent correction of septal deformities is one of the most difficult and controversial subjects in aesthetic nasal surgery. The main reasons for failure in most of the corrective procedures are either not to weaken the septal cartilage enough to straighten it, or to treat the septum too radically causing iatrogenic deformities or predisposing it to new deformities postoperatively. Our approach to correct septal deformities relies on the principle of strengthening/reinforcing the septal cartilage (with or without some weakening maneuvers to correct the deformities beforehand) with application of titanium hemoclips at some critical locations in septum. Eighty-seven patients operated on between 2007 and 2009 are included in this study. Thirty-six of these patients had combined septo-nasal deformities while the remaining 51 had solely septal deformities. In 30 patients with septo-nasal deformity the technique was proven to be successful. The remaining 6 patients of this group had axial nasal deformity (rather than intrinsic septal problems) and did not respond to our technique successfully. Within four years of follow up, we did not encounter any recurrences, infections, ulcerations or exposure in the mucosa covering the titanium clips. None of the titanium clips were required to be removed for any reasons.
鼻中隔畸形的永久性矫正一直是鼻美学手术中最为困难和存在争议的课题之一。大多数矫正术失败的主要原因是未能充分削弱鼻中隔软骨以使其变直，或因治疗过于激进而导致医源性畸形，或使鼻中隔术后易再次发生畸形。我们矫正鼻中隔畸形的方法基于加强/增强鼻中隔软骨的原则（在某些关键部位应用钛夹，同时进行一些削弱操作以预先矫正畸形）。本研究纳入了 2007 年至 2009 年间接受手术的 87 例患者。其中 36 例患者同时存在鼻中隔-鼻畸形，其余 51 例仅存在鼻中隔畸形。在 30 例鼻中隔-鼻畸形患者中，该技术被证明是成功的。该组的其余 6 例患者存在轴向鼻畸形（而非固有鼻中隔问题），对我们的技术反应不佳。在四年的随访中，我们没有遇到任何复发、感染、溃疡或覆盖钛夹的粘膜暴露。没有任何钛夹因任何原因需要取出。
