使用 L 型支撑瓣覆盖法修复术后和复发性鼻中隔穿孔。
Repair of postoperative and recurrent nasal septal perforations using L-strut overlay flap.
机构信息
Otorhinolaryngological Surgical Department, Department of Head and Neck Diseases, Federal State Autonomous Institution "National Medical Research Center of Children Health" of the Russian Federation Ministry of Health, Lomonosov Avenue, 2, 119991, Moscow, Russia.
Otorhinolaryngological Department, Central State Medical Academy of the Presidential Executive Office, Marshala Timoshenko Street, 19/1A, 121359, Moscow, Russia.
出版信息
Eur Arch Otorhinolaryngol. 2022 May;279(5):2701-2705. doi: 10.1007/s00405-022-07332-8. Epub 2022 Mar 13.
BACKGROUND
Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations.
METHOD
The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum. Seven patients were operated using "L-strut overlay" flap from June 2018 to October 2020. All patients had their perforations closed 12 months after surgery.
CONCLUSION
Early results of our surgical technique have proven its simplicity and high effectiveness.
背景
尽管有许多描述的技术，医源性鼻中隔穿孔的手术修复仍然具有挑战性。作者提出了一种新的内镜技术用于修复术后和复发性鼻中隔穿孔。
方法
该技术基于从 L 型支架区域提升血管化皮瓣，并在不解剖周围鼻中隔的情况下创建床部位。2018 年 6 月至 2020 年 10 月，采用“L 型支架覆盖”瓣法对 7 例患者进行了手术。所有患者在手术后 12 个月时穿孔均闭合。
结论
我们手术技术的早期结果已经证明了其简单性和高效性。
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