Nofal Ahmed Abdelfattah Bayomy
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
OTO Open. 2021 May 10;5(2):2473974X211013744. doi: 10.1177/2473974X211013744. eCollection 2021 Apr-Jun.
Caudal septal dislocation is a common finding, and it could lead to functional as well as aesthetic morbidity. There are different techniques to support the anterior end of the nasal septum and stabilize it in midline position. There are technical and practical difficulties in those techniques. This study describes a newly fashioned mucoperichondrium flap technique in caudal septal dislocation. This study was done in 40 patients (29 male and 11 female) with a mean (SD) age of 25 (3.2) years who had symptomatic septal deviation with minor and moderate caudal septal dislocation. The mucoperichondium flap on the side of the columellar dislocation was fashioned to be straight and stretched by excision of the extra length. It acted as a supporting scaffold for the straightened septum to be secured and fixed in the midline without need of any stabilizing sutures. All the patients had satisfactory functional and cosmetic results with correction of the columellar dislocation.
鼻中隔尾端脱位是一种常见的情况，它可能导致功能以及美观方面的问题。有多种技术可用于支撑鼻中隔前端并将其稳定在中线位置。这些技术存在技术和实际操作上的困难。本研究描述了一种用于鼻中隔尾端脱位的新型粘软骨膜瓣技术。本研究纳入了40例患者（29例男性和11例女性），平均（标准差）年龄为25（3.2）岁，这些患者有症状性鼻中隔偏曲且伴有轻度和中度鼻中隔尾端脱位。在鼻小柱脱位侧制作的粘软骨膜瓣被修剪成笔直且通过切除多余长度而伸展。它作为一个支撑支架，使矫正后的鼻中隔无需任何稳定缝线即可固定在中线位置。所有患者在鼻小柱脱位矫正后均获得了满意的功能和美容效果。
