Rees T D
Plast Reconstr Surg. 1986 Sep;78(3):320-30. doi: 10.1097/00006534-198609000-00007.
Twenty-five patients with severe internal and external deviation of the nose characterized by deviation of the septum in several planes and almost total obstruction of the airway on one or both sides were operated on. The entire bony and cartilaginous septum was removed in each of these patients, preserving the mucoperichondrial and mucoperiosteal flaps. The extramucosal technique of septal dissection was used. A support graft was fashioned from cartilaginous remnants of the septal cartilage and placed between the mucoperichondrial flaps as a free graft. All patients were followed for a minimum of 1 year. The longest follow-up is 15 years. Aesthetic improvement of the nose was obtained in all patients. All patients experienced varying degrees of improvement in nasal blockade.
对25例患有严重鼻内外偏斜的患者进行了手术，其特征为鼻中隔在多个平面偏斜，一侧或双侧气道几乎完全阻塞。在这些患者中，每例均切除了整个骨性和软骨性鼻中隔，保留了粘软骨膜瓣和粘骨膜瓣。采用鼻中隔剥离的粘膜外技术。用鼻中隔软骨的软骨残余制作支撑移植物，并作为游离移植物置于粘软骨膜瓣之间。所有患者至少随访1年。最长随访时间为15年。所有患者鼻部外观均得到改善。所有患者鼻阻塞均有不同程度改善。
