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[利用鼻腔CT解剖结构的矢量分析优化鼻中隔穿孔的整形闭合术]

[Optimization of the plastic closure of perforations in the nasal septum with the use of vector analysis of CT-anatomy of the nasal cavity].

作者信息

Kriukov A I, Tsarapkin G Iu, Arzhiev Kh Sh, Poliaeva M Iu, Gorovaia E V, Kariuk Iu A

出版信息

Vestn Otorinolaringol. 2013(2):52-6.

PMID:23715491
Abstract

The objective of the present study was to develop a planar template reflecting the spatial location of mucoperichondrium/mucoperiosteum in the nasal cavity that can be used to shape pedicled flaps for the plastic closure of perforations in the nasal septum. The vector analysis of computed tomograms of the nasal cavity obtained from 73 patients was employed to determine the size of the mucoperichondrium/mucoperiosteum of the septum, floor, and lateral wall of the nasal cavity. The resulting picture (template) has the form of an irregular polygon. Extrapolation of real perforation to such template makes it possible to more rationally plan surgery for the plastic closure of perforations in the nasal septum.

摘要

本研究的目的是开发一种平面模板,该模板能反映鼻腔内黏膜软骨膜/黏膜骨膜的空间位置,可用于塑造带蒂皮瓣,以对鼻中隔穿孔进行整形修复。通过对73例患者鼻腔计算机断层扫描图像进行矢量分析,以确定鼻中隔、鼻腔底部及侧壁的黏膜软骨膜/黏膜骨膜大小。所得图像(模板)呈不规则多边形。将实际穿孔外推至该模板,有助于更合理地规划鼻中隔穿孔整形修复手术。

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