Vatamanesku Ivan, Ciurea Marius, Popa Dragos George, Nica Oliviu, Parasca Sorin Viorel
University of Medicine and Pharmacy of Craiova, Romania.
"Carol Davila" University of Medicine and Pharmacy Bucharest, Romania.
Curr Health Sci J. 2020 Jan-Mar;46(1):39-43. doi: 10.12865/CHSJ.46.01.06. Epub 2020 Mar 31.
Crooked noses (noses with complex septal and pyramidal deviations) are an important challenge for both plastic surgeons and otolaryngologists. Extracorporeal septoplasty, described by Gubisch constitutes an effective solution to this problem. The article describes a series of 7 cases (5 males and 2 females) in which this method was used during open rhinoseptoplasty. The technique we used is described in detail. All the patients showed improvement of the nose appearance and good nasal air flow. Hypertrophy of the right inferior turbinate complicated one case, but was resolved with electro cauterization. Although the learning curve is slow and it claims the surgeon's imagination, the method is sometimes the only solution in complex cases of septal deviation. Our short series demonstrates that good indication and careful dissection are prerequisites for success in difficult cases.
歪鼻（伴有复杂鼻中隔和鼻锥体偏曲的鼻子）对于整形外科医生和耳鼻喉科医生来说都是一项重大挑战。古比施所描述的体外鼻中隔成形术是解决这一问题的有效方法。本文描述了一系列7例病例（5例男性和2例女性），在开放性鼻成形术期间采用了该方法。我们所使用的技术将进行详细描述。所有患者的鼻部外观均有改善，鼻腔通气良好。其中1例病例并发右下鼻甲肥大，但通过电灼得以解决。尽管学习曲线较缓且需要术者发挥想象力，但该方法有时是复杂鼻中隔偏曲病例的唯一解决方案。我们的短系列病例表明，对于困难病例，良好的适应证选择和仔细的解剖是成功的先决条件。
