Wu Linjing, Pan Yangwang, Liu Yunfu, Wang Tong, Zang Hongrui
Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Beijing,100073,China.
Department of Otorhinolaryngology Head and Neck Surgery,Civil Aviation General Hospital,Peking University Civil Aviation School of Medicine.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jun;36(6):453-456;462. doi: 10.13201/j.issn.2096-7993.2022.06.009.
Establish the anatomical parameters of the nasal septum and the area of each component in patients with nasal septum deviation, for the sake of guiding the scope of surgical resection for correction of nasal septum deviation. This is a retrospective study of 128 cases of sinus computer tomography images of patients with nasal septum deviation, marked 9 nasal septal anatomical locations, measured the area of the nasal septum and its components, and analyzed the trend of the percentage of the area of the nasal septum cartilage in the total area of the nasal septum with age. The total area of the nasal septum in the 128 patients with nasal septum deviation is: (2951.96±305.91) mm², the area of nasal septal cartilage: (961.89±229.64) mm², the area of the vertical ethmoid plate: (1123.96±214.17) mm², the area of the vomerine: (652.77±108.09) mm². The area of male septum is larger than that of female. As age increases, the nasal septal cartilage gradually decreases, and the percentage of the nasal septal cartilage area in the total area of the nasal septum gradually decreases. Elderly people who undergo nasal septum correction should be carefully considered to grasp the scope of resection, and the influence of gender on the area of nasal septum should also be paid attention.
确立鼻中隔偏曲患者鼻中隔的解剖学参数及各组成部分的面积,以指导鼻中隔偏曲矫正手术的切除范围。本研究回顾性分析128例鼻中隔偏曲患者的鼻窦计算机断层扫描图像,标记9个鼻中隔解剖位置,测量鼻中隔及其各组成部分的面积,并分析鼻中隔软骨面积占鼻中隔总面积的百分比随年龄的变化趋势。128例鼻中隔偏曲患者的鼻中隔总面积为:(2951.96±305.91)mm²,鼻中隔软骨面积为:(961.89±229.64)mm²,垂直筛板面积为:(1123.96±214.17)mm²,犁骨面积为:(652.77±108.09)mm²。男性鼻中隔面积大于女性。随着年龄增长,鼻中隔软骨逐渐减少,鼻中隔软骨面积占鼻中隔总面积的百分比逐渐降低。对行鼻中隔矫正术的老年人应慎重考虑,把握好切除范围,同时也应注意性别对鼻中隔面积的影响。