一种矫正尾侧和高位鼻中隔偏曲的新型手术技术：鼻中隔L形支柱上的L形切割与缝合（L形鼻中隔成形术）
A novel surgical technique to correct caudal and high dorsal septal deviations: L-shape cutting and suturing on the septal L-strut (L-septoplasty).
作者信息
Lee Tae-Hoon, Kim Tae-Koon, Kim Soon-Joon, Nam Jung Gwon
机构信息
Department of Otolaryngology-Head and Neck Surgery Ulsan University Hospital, University of Ulsan College of Medicine Ulsan South Korea.
出版信息
Laryngoscope Investig Otolaryngol. 2021 Jun 21;6(4):623-627. doi: 10.1002/lio2.607. eCollection 2021 Aug.
OBJECTIVES
In general, deviation of the L-strut of the nasal septum is more challenging to correct than the middle and has less favorable results. This study aimed to develop a technique to correct the L-strut while preserving nasal support effectively and introduce the L-septoplasty technique and its effects.
METHODS
Patients with caudal and high dorsal septal deviations who underwent the L-septoplasty technique were retrospectively analyzed. Preoperative and three-month postoperative comparative assessments included the Nasal Obstruction Symptom Evaluation (NOSE) scale and minimal cross-sectional area (MCA).
RESULTS
Thirty patients seen at a tertiary care center were included. NOSE scale scores improved from 47.2 to 13.6, which was statistically significant ( < .001). MCA increased from 0.43 cm to 0.74 cm ( < .001). During the 3-month follow-up period, deviation correction was well maintained in all patients, and no surgical complications, such as saddle nose deformity, occurred.
CONCLUSION
The L-septoplasty technique is effective in simultaneously correcting caudal and high dorsal septal deviations without any complications.
LEVEL OF EVIDENCE
目的
一般来说，鼻中隔L形支柱偏曲比鼻中隔中部偏曲更具矫正挑战性，且效果欠佳。本研究旨在开发一种在有效保留鼻支撑的同时矫正L形支柱的技术，并介绍L形鼻中隔成形术技术及其效果。
方法
对接受L形鼻中隔成形术的尾侧和高位鼻中隔偏曲患者进行回顾性分析。术前和术后三个月的比较评估包括鼻阻塞症状评估（NOSE）量表和最小横截面积（MCA）。
结果
纳入了一家三级医疗中心的30例患者。NOSE量表评分从47.2提高到13.6，差异有统计学意义（<0.001）。MCA从0.43平方厘米增加到0.74平方厘米（<0.001）。在3个月的随访期内，所有患者的偏曲矫正情况保持良好，未出现鞍鼻畸形等手术并发症。
结论
L形鼻中隔成形术技术可有效同时矫正尾侧和高位鼻中隔偏曲，且无任何并发症。
证据级别
4级。
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