Bewarder F, Pirsig W
Laryngol Rhinol Otol (Stuttg). 1978 Oct;57(10):922-30.
250 adults were checked-up 1 to 19 years following submucous septal resection, most of them after 4 to 6 years. In two thirds of these cases the nasal obstruction was abolished, and in 60 to 80 per cent sequelae of nasal blockage (otitis, non-specific rhinitis, sinusitis, pharyngitis, tonsillitis) were reduced or healed. The positive influence of the resection on allergic rhinitis and headache was less (20 to 40%). 33 per cent of the patients complained of permanent nasal obstruction instead of surgery. In 45 per cent of these cases the obstruction appeared with a postoperative delay of 6 months and more! Deviation of the anterior septal remnant is the most frequent reason for obstruction. Other negative sequelae following submucous resection are atrophy of the mucosa (45%), hyperplasia of the inferior tubinates (38%), excessive mobility of the septum (13%), perforations (9%), and saddling of the cartilaginous nasal roof (7%). A comparison of the long-term results following submucous resection and following septoplasty show the better results by septoplasty.
250名成年人在鼻中隔黏膜下切除术1至19年后接受了检查，其中大多数是在4至6年后。在这些病例中，三分之二的鼻塞症状得以消除，60%至80%的鼻塞后遗症（中耳炎、非特异性鼻炎、鼻窦炎、咽炎、扁桃体炎）得到减轻或治愈。该切除术对过敏性鼻炎和头痛的积极影响较小（20%至40%）。33%的患者术后仍抱怨存在持续性鼻塞。在这些病例中，45%的患者在术后6个月或更长时间出现鼻塞！鼻中隔前部残余部分偏曲是鼻塞最常见的原因。鼻中隔黏膜下切除术后的其他负面后遗症包括黏膜萎缩（45%）、下鼻甲增生（38%）、鼻中隔过度活动（13%）、穿孔（9%）以及鼻软骨顶鞍状畸形（7%）。鼻中隔黏膜下切除术和鼻中隔成形术的长期结果比较显示，鼻中隔成形术效果更佳。
