Slavit D H, Bansberg S F, Facer G W, Kern E B
State University of New York-Brooklyn Health Sciences Center, USA.
Arch Otolaryngol Head Neck Surg. 1995 Oct;121(10):1091-8. doi: 10.1001/archotol.1995.01890100009002.
To examine the results of complete removal and reconstruction of the caudal end of the septum with emphasis on long term success.
A case series reviewing the surgical outcome of 45 consecutive cases of transplantations for severely deformed of absent caudal ends of the septum. After at least 18 months, all 45 patients were given a postoperative evaluation.
All procedures were performed at Mayo Clinic, Rochester, Minn.
Forty-five patients (36 male and nine females) ranged in age from 7 to 78 years, with a mean age of 38 years. Twenty-seven patients had severe caudal end deformities, and 18 patients had absent or flaccid caudal end.
Subjective assessment included the opinion of the patient, rhinologic examination, and photographic analysis. Anterior mask rhinomanometry was performed to measure nasal resistance. Clinically noted complications were documented when present.
Subjectively, 36 (80%) of the 45 patients reported "normal" nasal breathing, and seven patients (15.6%) reported improved nasal breathing. Objective preoperative and postoperative rhinomanometry data, available in 28 cases, was related to the subjective findings. The longevity of the caudal end transplant was confirmed by reviewing the data from the 33 patients who were followed up more than 1 year. Ninety percent of the patients were free of complications.
Objective and subjective results showed excellent long-term results. The caudal end of the nasal septum can be removed safely and reconstructed.
检查鼻中隔尾端完全切除与重建的结果，重点关注长期成功率。
一项病例系列研究，回顾了45例连续的鼻中隔尾端严重畸形或缺如患者的移植手术结果。至少18个月后，对所有45例患者进行了术后评估。
所有手术均在明尼苏达州罗切斯特市的梅奥诊所进行。
45例患者（36例男性，9例女性），年龄7至78岁，平均年龄38岁。27例患者有严重的鼻中隔尾端畸形，18例患者鼻中隔尾端缺如或松弛。
主观评估包括患者的意见、鼻科检查和影像学分析。采用前鼻面罩测压法测量鼻阻力。记录临床观察到的并发症（如有）。
主观上，45例患者中有36例（80%）报告鼻腔呼吸“正常”，7例患者（15.6%）报告鼻腔呼吸改善。28例患者有术前和术后客观的鼻测压数据，与主观结果相关。通过回顾33例随访超过1年患者的数据，证实了鼻中隔尾端移植的持久性。90%的患者无并发症。
客观和主观结果均显示出优异的长期效果。鼻中隔尾端可以安全切除并重建。
