Cotin G, Muler H, Baux S, Basset J M
Ann Otolaryngol Chir Cervicofac. 1979 Sep-Oct;96(10-11):733-43.
The authors report 14 cases of midline congenital fistulas of the nose. Early diagnosis of the abnormality and its deep prolongations are necessary in order to avoid delayed presentation by infectious complications, which may be grave. Anteroposterior tomograms, in Gosserez view, in general provide precise information concerning the extent. In order to limit aesthetic problems, surgical treatment, without prejudice to total excision, should give preference to concealed transcolumellar incisions extended if necessary to the nostrils. This approach offers extensive manaeuvrability and makes it possible to perform a rhinoplasty if necessary.
作者报告了14例鼻中线先天性瘘管病例。为避免因可能严重的感染并发症导致病情延误，对该异常及其深部延伸进行早期诊断很有必要。一般来说，采用戈塞雷斯位的前后位体层摄影可提供有关病变范围的精确信息。为了减少美学问题，手术治疗在不影响完全切除的情况下，应优先选择隐蔽的经鼻小柱切口，必要时可延伸至鼻孔。这种方法提供了广泛的操作灵活性，如有必要还可进行鼻整形术。
