歪鼻畸形的关键石成形术和不对称驼峰切除术。
Key stone plasty and asymmetric hump resection in crooked nose deformity.
机构信息
Meltem Gökay Plaza, Atatürk Blv. No:23/41, 07070 Konyaaltı/Antalya, Turkey.
Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
出版信息
Am J Otolaryngol. 2022 Sep-Oct;43(5):103492. doi: 10.1016/j.amjoto.2022.103492. Epub 2022 May 12.
OBJECTIVE
The aim of this study is to propose a new approach in crooked nose deformity with key-stone plasty and asymmetric hump resection.
METHOD
Twelve patients with crooked nose deformities were operated using the open rhinoplasty technique. Our method, unlike other methods, has two different steps. Following asymmetric hump resection, cartilaginous and osseous septum were cut separated at the key stone area or more caudally and fix the septum with sutures again by allowing them to slide over each other in a way that directs the septum to the midline. If there is an inability to reveal the septum, we apply a longer spreader graft to the cartilage septum side.
RESULTS
The mean ages were 27.4 years. The mean follow-up time of the patients was 19.1 months. No complications were observed due to this technique. This technique was effective in the treatment of all our patients with crooked nose deformities.
CONCLUSION
A novel surgical approach with key-stone plasty and asymmetric hump resection method was proposed in crooked nose deformity with a video animation.
目的
本研究旨在提出一种新的方法，即采用关键石成形术和不对称驼峰切除术治疗歪鼻畸形。
方法
采用开放式鼻整形术对 12 例歪鼻畸形患者进行手术。与其他方法不同，我们的方法有两个不同的步骤。在进行不对称驼峰切除术后，在关键石区域或更靠尾侧切开软骨和骨性鼻中隔，并通过相互滑动将鼻中隔用缝线重新固定，使鼻中隔指向中线。如果无法显露鼻中隔，则在软骨鼻中隔侧应用更长的撑开器移植物。
结果
患者的平均年龄为 27.4 岁。患者的平均随访时间为 19.1 个月。由于该技术，没有观察到任何并发症。该技术对所有歪鼻畸形患者均有效。
结论
通过视频动画，我们提出了一种新的手术方法，即采用关键石成形术和不对称驼峰切除术治疗歪鼻畸形。
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