Ghaisas Virendra, Parab Sapna Ramkrishna
Ghaisas ENT Hospital, MIMER Medical College, Talegaon D, Pune, India.
Indian J Otolaryngol Head Neck Surg. 2015 Sep;67(3):205-9. doi: 10.1007/s12070-015-0892-x. Epub 2015 Sep 15.
Severe gross septal deviations present big surgical challenges for operating surgeon. Septal deviations has direct effect on aesthetic and functional part of nose. Correcting septal deviations during rhinoplasty is basic procedure. Extreme deviations of septum especially on dorsal and caudal end of cartilaginous septum are difficult to treat. The classical septoplasty approach becomes unsuitable for such severe deviations. Gubisch has first reported in 1995 about extracorporeal septoplasty. To report the experience of Extracorporeal septoplasty and the complication rates with the technique. Retrospective study of 112 patients who underwent extracorporeal septoplasty in primary rhinoplasty from May 2009 to June 2014. Patient's pre and postoperatively evaluation was done by photographs, nasal endoscopy and subjective by symptoms evaluation satisfaction scale 6 and 12 months postoperatively. Nasal endoscopy revealed significant improvement in nasal airway and nasal valve and subjective evaluation satisfaction score was very encouraging. Complications like septal perforation, bleeding, aesthetic complications were minimal (9 %) On basis of results obtained, shows that this technique, increases patients nasal airway and aesthetic look of the patients. Irrespective of extreme nasal deviations.
严重的鼻中隔明显偏曲给手术医生带来了巨大的手术挑战。鼻中隔偏曲对鼻子的美观和功能都有直接影响。在隆鼻手术中矫正鼻中隔偏曲是基本步骤。鼻中隔的极端偏曲，尤其是在软骨性鼻中隔的背侧和尾端，很难治疗。经典的鼻中隔成形术方法对于如此严重的偏曲并不适用。古比施于1995年首次报道了体外鼻中隔成形术。报告体外鼻中隔成形术的经验及该技术的并发症发生率。对2009年5月至2014年6月期间在初次隆鼻手术中接受体外鼻中隔成形术的112例患者进行回顾性研究。通过照片、鼻内镜检查以及术后6个月和12个月的症状评估满意度量表对患者进行术前和术后评估。鼻内镜检查显示鼻气道和鼻瓣膜有显著改善，主观评估满意度得分也非常令人鼓舞。鼻中隔穿孔、出血、美学并发症等并发症极少（9%）。根据所获得的结果表明，该技术改善了患者的鼻气道和美观程度，无论鼻中隔偏曲程度如何。
