Department of Otolaryngology-Head and Neck Surgery, Guangzhou Twelfth People's Hospital (Guangzhou Otolarynology-Head and Neck Surgery Hospital), Guangzhou, China.
J Craniofac Surg. 2022;33(2):e116-e117. doi: 10.1097/SCS.0000000000007994.
Nasal structures have both functional and cosmetic significance. These structures maintain the shape of the nose and regulate the nasal airflow. During trauma, fractures of the nasal bone are frequently associated with nasal septum deviations. This can lead to the nasal bone collapsing and nasal obstruction. The septoplasty technique is a major surgical intervention to improve nasal obstructions, with the submucosal resection of the deviated septum. In the past, septoplasty was deferred until the nasal bone fracture was healed to reduce the postoperative risk of saddle-nose and flat nose deformities. Advances in technology have enabled surgeons to attempt septoplasty together with a closed reduction of the nasal bone fraction. It is most important to preserve the septal support structure during surgery. Hence, we advocate that the nasal septum be reset in the midline rather than removed, by modified endoscopic septoplasty.
鼻腔结构具有功能和美容意义。这些结构维持着鼻子的形状和调节鼻腔气流。在创伤中，鼻骨骨折常伴有鼻中隔偏曲。这可能导致鼻骨塌陷和鼻阻塞。鼻中隔成形术是一种主要的手术干预措施，通过对偏曲鼻中隔的黏膜下切除来改善鼻阻塞。过去，鼻中隔成形术被推迟到鼻骨骨折愈合后进行，以降低术后鞍鼻和平鼻畸形的风险。技术的进步使得外科医生能够尝试在闭合性复位鼻骨骨折的同时进行鼻中隔成形术。在手术中最重要的是保持鼻中隔的支撑结构。因此，我们主张通过改良的内镜鼻中隔成形术，将鼻中隔重置在中线上，而不是切除。
