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[鼻甲手术]

[Nasal turbinate surgery].

作者信息

Sommer F, Lindemann J, Scheithauer M-O, Hoffmann T K, Veit J A

机构信息

Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland.

出版信息

HNO. 2017 May;65(5):443-456. doi: 10.1007/s00106-017-0349-5.

DOI:10.1007/s00106-017-0349-5
PMID:28401248
Abstract

The nose forms the first 8 cm of the upper respiratory tract and is responsible for cleansing, humidification, and temperature control of the supplied air. This is also referred to as conditioning. The nasal valve region, formed by the head of the lower nasal concha, portions of the cartilaginous septum, and the upper lateral cartilage, is responsible for diffusing and accelerating the respiratory airflow. Prerequisite are regular mucociliary clearance and sufficient air passage. Hypertrophy of the lower nasal turbinate is one of the most common causes of symptomatic nasal congestion. In unclear cases, rhinometric procedures are available. In addition to conservative therapy of allergic or vasomotor rhinitis by specific immunotherapy or topical corticoids, numerous interventional procedures are available to reduce conchal tissue. All modern methods have a high degree of protection of the respiratory mucosa in common.

摘要

鼻子构成上呼吸道的前8厘米,负责对吸入空气进行清洁、加湿和温度调节。这也被称为调节作用。鼻瓣区由下鼻甲头部、鼻中隔软骨部分和上外侧软骨组成,负责使呼吸气流扩散并加速。前提条件是要有规律的黏液纤毛清除功能和足够的气道。下鼻甲肥大是引起症状性鼻充血最常见的原因之一。在诊断不明确的情况下,可以采用鼻测量法。除了通过特异性免疫疗法或局部使用皮质类固醇对过敏性或血管运动性鼻炎进行保守治疗外,还有许多介入手术可用于减少鼻甲组织。所有现代方法都有一个共同特点,即对呼吸道黏膜有高度保护作用。

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引用本文的文献

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[Negative effects of stripe conchotomy on intranasal conditioning].[鼻中隔切开术对鼻内调节的负面影响]
HNO. 2019 May;67(5):373-378. doi: 10.1007/s00106-019-0619-5.
2
[Anteromedial maxillectomy for improvement of nasal breathing : Advanced procedure in surgery of the lateral nasal wall].[前内侧上颌骨切除术改善鼻通气:鼻侧壁手术的进阶术式]
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Turbinate reduction with complete preservation of mucosa and submucosa during rhinoplasty.鼻整形术中在完全保留黏膜和黏膜下层的情况下进行鼻甲缩小术。

本文引用的文献

1
Three different turbinoplasty techniques combined with septoplasty: Prospective randomized trial.三种不同的鼻甲成形术联合鼻中隔成形术:前瞻性随机试验。
Laryngoscope. 2017 Feb;127(2):303-308. doi: 10.1002/lary.26264. Epub 2016 Sep 16.
2
Radiofrequency Thermal Ablation versus Bipolar Electrocautery for the Treatment of Inferior Turbinate Hypertrophy: Comparison of Efficacy and Postoperative Morbidity.射频热消融术与双极电凝术治疗下鼻甲肥大的疗效及术后并发症比较
Int Arch Otorhinolaryngol. 2016 Jan;20(1):2-5. doi: 10.1055/s-0035-1551553. Epub 2015 Apr 30.
3
The effect of "Pyriform Turbinoplasty" on nasal airflow using a virtual model.
HNO. 2018 Feb;66(2):111-117. doi: 10.1007/s00106-017-0450-9.
使用虚拟模型研究“梨状鼻甲成形术”对鼻气流的影响。
Rhinology. 2015 Sep;53(3):242-8. doi: 10.4193/Rhino14.259.
4
Radiofrequency Coblation Versus Intramural Bipolar Cautery for the Treatment of Inferior Turbinate Hypertrophy.射频消融术与黏膜下双极电凝术治疗下鼻甲肥大的对比研究
Ann Otol Rhinol Laryngol. 2015 Sep;124(9):691-7. doi: 10.1177/0003489415578709. Epub 2015 Mar 31.
5
Numerical simulation of humidification and heating during inspiration within an adult nose.成人鼻腔内吸气过程中的加湿和加热的数值模拟。
Rhinology. 2012 Jun;50(2):157-64. doi: 10.4193/Rhino11.231.
6
Surgery of the turbinates and "empty nose" syndrome.鼻甲手术与“空鼻症”
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2010;9:Doc03. doi: 10.3205/cto000067. Epub 2011 Apr 27.
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Midterm outcomes of outfracture of the inferior turbinate.下鼻甲骨折外移术的中期疗效。
Otolaryngol Head Neck Surg. 2010 Oct;143(4):579-84. doi: 10.1016/j.otohns.2010.06.915.
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Outfracture of the Inferior Turbinate: A Computed Tomography Study.下鼻甲骨折外移:一项计算机断层扫描研究
Plast Reconstr Surg. 2009 Jun;123(6):1704-1709. doi: 10.1097/PRS.0b013e31819b69b1. Epub 2009 Mar 23.
9
Long-term efficacy of microdebrider-assisted inferior turbinoplasty with lateralization for hypertrophic inferior turbinates in patients with perennial allergic rhinitis.微切吸刀辅助下鼻甲外移术治疗常年性变应性鼻炎患者肥厚性下鼻甲的长期疗效
Laryngoscope. 2008 Jul;118(7):1270-4. doi: 10.1097/MLG.0b013e31816d728e.
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Comparison of radiofrequency tissue volume reduction and submucosal resection with microdebrider in inferior turbinate hypertrophy.下鼻甲肥大中射频组织容积减小术与使用微型切割器进行黏膜下切除术的比较。
Otolaryngol Head Neck Surg. 2008 Feb;138(2):176-81. doi: 10.1016/j.otohns.2007.10.035.