Stoksted P, Vase P
Rhinology. 1978 Sep;16(3):123-38.
New operative methods have been introduced into nasal surgery in recent years; these are septoplastic, rhinoplastic and nasal reconstruction. These new methods are now employed together with the more traditional submucous septum resection. Today the above mentioned operations have been carried out in such large numbers that it is possible to commence comparing operative results. The present investigation is a comparison of the number of septum perforations with 1) submucous septum resection, 2) septum correction with reconstruction of the septum skeleton, and 3) septum correction in connection with rhinoplastic of the outer nose, possibly supplemented by nasal reconstruction. In the latter case a systematic suturing of all mucosal lacerations has been carried out, partly to prevent septum perforations and partly in order to keep the septum flaps intact during reimplantation of the cartilage and bone with the object of constructing a solid septum skeleton. While primary suturing of the mucosa is a relatively simple procedure, the closure of postoperative septum perforations is far more difficult. The results depend on the size of the perforation and the amount of cartilage and bone material still remaining in the septum. It must therefore be advisable to employ operative techniques which are able to prevent septum perforations or at least reduce their number to a minimum.
近年来，新的手术方法已被引入鼻外科手术；这些方法包括鼻中隔成形术、鼻整形术和鼻再造术。这些新方法现在与更传统的鼻中隔黏膜下切除术一起使用。如今，上述手术已大量开展，因此可以开始比较手术效果。本研究是对鼻中隔穿孔数量进行比较，分别涉及：1）鼻中隔黏膜下切除术；2）鼻中隔矫正并重建鼻中隔骨架；3）在外鼻鼻整形术的同时进行鼻中隔矫正，必要时辅以鼻再造术。在后一种情况下，对所有黏膜撕裂处进行了系统缝合，部分目的是防止鼻中隔穿孔，部分目的是在重新植入软骨和骨以构建坚固的鼻中隔骨架时保持鼻中隔瓣完整。虽然黏膜的一期缝合是一个相对简单的操作，但术后鼻中隔穿孔的闭合要困难得多。结果取决于穿孔的大小以及鼻中隔中剩余的软骨和骨材料的数量。因此，采用能够预防鼻中隔穿孔或至少将其数量减少到最低限度的手术技术是明智的。
