改善鼻腔气道：鼻中隔成形术之外。
Augmenting the nasal airway: beyond septoplasty.
机构信息
Northwestern Memorial Hospital, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL 60611, USA.
出版信息
Am J Rhinol Allergy. 2012 Jul-Aug;26(4):326-31. doi: 10.2500/ajra.2012.26.3786.
BACKGROUND
Nasal airway obstruction is a common complaint of patients presenting to otolaryngology clinics and can be caused by a variety of anatomic factors. A number of advances in the surgical management of nasal airway obstruction have been made over the last century. The objective of this article is to provide descriptions of the surgical procedures used to augment specific anatomic deviations that lead to obstruction of the nasal airway.
METHODS
The descriptions of surgical procedures were derived from a literature review as well as the empiric knowledge of the senior author. Preoperative considerations of nasal anatomy, the nasal airway, and the L-strut are detailed.
RESULTS
Functional rhinoplasty techniques are reviewed including septoplasty, extracorporeal septoplasty, spreader grafts, batten grafts, alar rim grafts, and correction of caudal septal deviation.
CONCLUSION
The symptom, nasal obstruction, may arise from a number of different anatomic and physiological elements. The rhinoplasty surgeon must consider these contributing elements and manage accordingly, to achieve optimal results.
背景
鼻腔气道阻塞是耳鼻喉科门诊患者常见的主诉，可由多种解剖因素引起。在过去的一个世纪中，鼻腔气道阻塞的手术治疗取得了许多进展。本文的目的是提供用于增强导致鼻腔气道阻塞的特定解剖学偏差的手术程序的描述。
方法
手术程序的描述源自文献回顾以及资深作者的经验知识。详细介绍了鼻腔解剖、鼻腔气道和 L 型支柱的术前考虑因素。
结果
回顾了功能性鼻整形术技术，包括鼻中隔成形术、体外鼻中隔成形术、鼻中隔撑开器移植物、鼻甲移植物、鼻翼缘移植物和矫正鼻中隔尾侧偏曲。
结论
症状，即鼻腔阻塞，可能由许多不同的解剖和生理因素引起。鼻整形术医生必须考虑这些相关因素并进行相应的治疗，以达到最佳效果。
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