Zilinsky I, Borenstein A, Tsur H
Mohs Micrographic Surgical Unit, Department of Plastic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Dermatol Surg Oncol. 1993 Sep;19(9):866-8. doi: 10.1111/j.1524-4725.1993.tb01020.x.
Neoplasms of the nasal septum and internal alar surface are very difficult to treat. This is because of the complicated surface, proximity to important anatomic structures, and technical difficulty--both to resection and follow up. Mohs micrographic surgery might be the ideal mode of treatment for such tumors; however, it is very difficult to accomplish through the nostril.
To resect the tumor on the nasal septum and internal alar surface using Mohs micrographic surgery.
Lateral rhinotomy was performed as a preparatory stage to Mohs micrographic surgery of the anterior septum and intranasal alar surface.
The ala nasi was detached from the cheek, thus exposing the anterior nasal cavity--enabling direct access to the neoplasms and allowing excellent visualization.
Lateral rhinotomy, as described in this article, is a simple office procedure and in most cases heals with no visible scar.
鼻中隔和鼻翼内表面的肿瘤很难治疗。这是由于其表面复杂、靠近重要解剖结构以及手术难度大——包括切除和随访。莫氏显微外科手术可能是此类肿瘤的理想治疗方式；然而，通过鼻孔进行手术非常困难。
采用莫氏显微外科手术切除鼻中隔和鼻翼内表面的肿瘤。
在进行鼻中隔前部和鼻内鼻翼表面的莫氏显微外科手术前，先进行鼻侧切开术。
鼻翼从脸颊分离，从而暴露前鼻腔——能够直接接触肿瘤并实现极佳的视野。
本文所述的鼻侧切开术是一种简单的门诊手术，在大多数情况下愈合后无明显疤痕。
