“甜甜圈套靴”技术在鼻中隔前穿孔和大穿孔中的应用。
"Boot-on-Donut" procedure for anterior and large septal perforation.
机构信息
Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Clínic, IDIBAPS, CIPERES, Universitat de Barcelona, Barcelona, Spain.
Unidad Alergo Rino, Centro Médico Teknon, Barcelona, Spain.
出版信息
Eur Arch Otorhinolaryngol. 2024 May;281(5):2761-2765. doi: 10.1007/s00405-024-08497-0. Epub 2024 Mar 18.
BACKGROUND
Surgical closure of large nasoseptal perforation (NSP) is challenging. The use of an extended anterior ethmoidal artery (eAEA) flap to reconstruct NSP may present with difficulties for NSPs which have their upper edge in a high position.
METHOD
We propose adding a "donut-shape" flap from surrounding septal tissue to the eAEA flap. Thus, the inverted edges of this flap allow to cover the uppermost aspect of the NSP. A series of 18 patients with complete closure of NSPs was included.
CONCLUSION
This novel "Boot-on-Donut" technique consisting of the eAEA flap (Boot) and inverted edges (Donut) is a feasible procedure that allows to reconstruct large NSP located superiorly.
背景
外科修复大的鼻中隔穿孔（NSP）具有挑战性。使用扩展的前筛动脉（eAEA）皮瓣来重建 NSP，对于上缘位置较高的 NSP 可能存在困难。
方法
我们建议在 eAEA 皮瓣上添加来自周围鼻中隔组织的“环形”瓣。因此，该瓣的倒置边缘可以覆盖 NSP 的最上部。共纳入了 18 例 NSP 完全闭合的患者。
结论
这种新型的“靴形-环形”技术，由 eAEA 皮瓣（靴）和倒置边缘（环形）组成，是一种可行的方法，可以重建位于上方的大 NSP。
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