Kodama Satoru, Tateyama Kaori, Nomi Nozomi, Suzuki Masashi
Nihon Jibiinkoka Gakkai Kaiho. 2015 Feb;118(2):129-34. doi: 10.3950/jibiinkoka.118.129.
Caudal septum deviation is one of the most difficult tasks in nasal surgeries even for the experienced surgeons. Correction of the deviated nose presents a challenge because frequently a functional as well as an aesthetic problem must be addressed. In patient with caudal septum deviation, a proper correction of the deviated septal cartilage is a critically important factor for surgical success. For successful correction of caudal septum deviation, the skill to precisely execute the surgical steps is required to alter and control the septum thorough a thorough understandings of nasal anatomy and physiology, accurate preoperative analysis and intraoperative diagnosis, together with an understanding of the physiology of cartilage and its healing. The closed (endonasal) septorhinoplasty approach provides a wide surgical filed that enables the surgeon to implement various surgical procedures. For correction of the caudal septal strut, placement of a batten graft on the concave side after scoring incisions can also be used, resulting in successful correction of caudal deviation. A functional septorhinoplasty with the ultimate purpose of improving nasal obstruction is expected to develop from the Japanese rhinologic perspective. In the current study, closed septorhinoplasty proved to be one of the most effective methods for correcting caudal septum deviation.
即使对于经验丰富的外科医生来说，鼻中隔尾端偏曲的矫正也是鼻部手术中最具难度的任务之一。鼻畸形的矫正颇具挑战，因为通常必须同时解决功能和美观两方面的问题。对于鼻中隔尾端偏曲的患者，正确矫正偏曲的鼻中隔软骨是手术成功的关键因素。要成功矫正鼻中隔尾端偏曲，需要通过对鼻解剖学和生理学的透彻理解、准确的术前分析和术中诊断以及对软骨生理学及其愈合过程的了解，精确执行手术步骤，以改变和控制鼻中隔。闭合式（鼻内）鼻中隔鼻成形术提供了广阔的手术视野，使外科医生能够实施各种手术操作。对于鼻中隔尾端支柱的矫正，在划痕切口后于凹侧放置支撑移植物也可取得成功，从而矫正尾端偏曲。从日本鼻科学的角度来看，有望发展出以改善鼻阻塞为最终目的的功能性鼻中隔鼻成形术。在本研究中，闭合式鼻中隔鼻成形术被证明是矫正鼻中隔尾端偏曲最有效的方法之一。
