降低局部张力修复鼻中隔偏曲和棘突。
Reducing local tension to repair nasal septal deviation and spur.
机构信息
The First Affiliated Hospital of Fujian Medical University, Department of Otorhinolaryngology, Head and Neck Surgery, Fuzhou, China; Binhai Campus of The First Affiliated Hospital, Fujian Medical University, National Regional Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Fuzhou, China.
The First Affiliated Hospital of Fujian Medical University, Department of Otorhinolaryngology, Head and Neck Surgery, Fuzhou, China; Binhai Campus of The First Affiliated Hospital, Fujian Medical University, National Regional Medical Center, Department of Otorhinolaryngology, Head and Neck Surgery, Fuzhou, China.
出版信息
Braz J Otorhinolaryngol. 2024 Nov-Dec;90(6):101464. doi: 10.1016/j.bjorl.2024.101464. Epub 2024 Jul 8.
OBJECTIVES
To introduce our method managing nasal septal spurs during endoscopic septoplasty.
METHODS
We conducted a prospective study of cases treated with endoscopic septoplasty between March 2022 and June 2023. We innovated a surgical method to reduce the local mucosal tension at the spur by cutting the spur above and below the bony connection, and reducing the chance of mucosal tear and loss during dissection. The authors performed these cases at the First Affiliated Hospital of Fujian Medical University, where 40 surgeries were performed with regular postoperative follow-ups for 6-12 months.
RESULTS
All patients' clinical symptoms improved significantly after surgery. After 2-4 weeks of follow-up, the mucosa could recover to the preoperative state on both sides of the nasal septum.
CONCLUSION
This surgical method is suitable for most patients with nasal septal deviation, especially those with a spur, which can effectively reduce the chance of nasal septal mucosa tear and accelerate postoperative recovery.
LEVEL OF EVIDENCE
Ⅳ.
目的
介绍我们在鼻中隔成形术中处理鼻中隔棘突的方法。
方法
我们对 2022 年 3 月至 2023 年 6 月期间接受鼻中隔成形术治疗的病例进行了前瞻性研究。我们创新了一种手术方法，通过切割骨连接上下的棘突来降低棘突处的局部黏膜张力，减少在解剖过程中黏膜撕裂和丢失的机会。作者在福建医科大学附属第一医院进行了这些手术，其中 40 例患者接受了定期的术后随访，随访时间为 6-12 个月。
结果
所有患者术后临床症状均明显改善。随访 2-4 周后，鼻中隔两侧的黏膜可恢复到术前状态。
结论
这种手术方法适用于大多数鼻中隔偏曲患者，特别是棘突患者，可有效降低鼻中隔黏膜撕裂的机会，加速术后恢复。
证据水平
Ⅳ。
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