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单纯鼻中隔成形术并不适用于大多数结构性鼻阻塞。

Septoplasty alone is not suitable for most structural nasal obstructions.

作者信息

Liu Jin-Feng, Yan Zhan-Feng, Zhang Zhi-Jin, Wang Ning-Yu

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.

Department of Otorhinolaryngology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2020 Jul 4;7(4):322-327. doi: 10.1016/j.wjorl.2020.05.007. eCollection 2021 Oct.

Abstract

Septoplasty is widely used in the treatment of structural nasal obstructions, and it also has a good effect and a high degree of postoperative satisfaction. However, there a large number of structures demonstrate abnormalities related to structural nasal obstruction, including the external nose, maxilla, nasal cavity and paranasal sinus. Nasal septum deviation is only one signs of structural nasal obstruction and does not represent all possible structural abnormalities of the nasal cavity and its surrounding structure. Septoplasty is only performed to correct deviations of the nasal septum, which in many cases is obviously insufficient in restoring the symmetry of the nasal structure. Therefore, septoplasty alone is not suitable for the treatment of most structural nasal obstructions. Nasal ventilation expansion surgery, which typically covers more abnormal structural correction procedures than septoplasty, should be used when describing the treatment of structural nasal obstruction.

摘要

鼻中隔成形术广泛应用于结构性鼻阻塞的治疗,且效果良好,术后满意度高。然而,有大量结构显示出与结构性鼻阻塞相关的异常,包括外鼻、上颌骨、鼻腔和鼻窦。鼻中隔偏曲只是结构性鼻阻塞的一个体征,并不代表鼻腔及其周围结构所有可能的结构异常。鼻中隔成形术仅用于纠正鼻中隔偏曲,在许多情况下,这显然不足以恢复鼻结构的对称性。因此,单纯的鼻中隔成形术并不适合治疗大多数结构性鼻阻塞。当描述结构性鼻阻塞的治疗时,应采用鼻腔通气扩张手术,该手术通常比鼻中隔成形术涵盖更多的异常结构矫正程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8b9/8486691/7e5ef6ad21d1/gr1.jpg

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