Smith David F, Albathi Monirah, Lee Andrew, Lee Linda N, Boahene Kofi D
Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Ohio, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.
Laryngoscope. 2017 Aug;127(8):1767-1771. doi: 10.1002/lary.26520. Epub 2017 Mar 14.
OBJECTIVES/HYPOTHESIS: To present a novel technique for the repair of large complicated nasal septal perforations using an upper lateral cartilage composite flap.
This is a case series of five patients with large septal perforations seen at an academic tertiary care center, who have failed previous treatment measures and were selected to undergo this novel reconstruction for closure of their defects.
Patients were followed clinically to determine the success of the repair. Pre- and postoperative photographic documentation is presented, as well as a description of the surgical technique.
All patients were found to have large septal perforations exceeding 2 × 3 cm in size. The reconstructed septal perforations remained closed for the duration of follow-up. There were no long-term complications related to this technique.
The composite upper lateral cartilage flap is an effective and reliable means of repairing large and complicated septal defects with respiratory mucosa recruited from the nasal cavity. It may be considered in revision cases prior to entertaining regional extranasal flaps or the use of septal buttons.
目的/假设：介绍一种使用上外侧软骨复合瓣修复大型复杂鼻中隔穿孔的新技术。
这是一个病例系列，包含在一家学术性三级医疗中心就诊的5例大型鼻中隔穿孔患者，他们之前的治疗措施均告失败，被选中接受这种新型重建手术以闭合缺损。
对患者进行临床随访以确定修复是否成功。展示术前和术后的照片记录以及手术技术描述。
所有患者均有超过2×3 cm大小的大型鼻中隔穿孔。重建的鼻中隔穿孔在随访期间保持闭合。该技术无长期并发症。
上外侧软骨复合瓣是一种有效且可靠的修复大型复杂鼻中隔缺损的方法，利用鼻腔募集的呼吸黏膜进行修复。在考虑使用鼻外局部皮瓣或鼻中隔纽扣之前，对于翻修病例可考虑采用该方法。
4。《喉镜》，2017年，第127卷，第1767 - 1771页
