Teichgraeber J F, Russo R C
Department of Surgery, University of Texas Health Science Center, Houston.
Plast Reconstr Surg. 1993 Feb;91(2):229-35. doi: 10.1097/00006534-199302000-00004.
Twenty-five patients with septal perforations were seen between July 1, 1983, and June 30, 1989. There were 16 males and 9 females, who ranged in age from 21 to 72 years, with the median age of 41.7 years. The majority of the perforations were traumatic in origin, with 19 cases seen following septal surgery, and were between 1.5 and 2.5 cm (20), with a range of 0.5 to 4 cm. All were located at the posterior border of the quadrilateral cartilage at the vomer-ethmoid junction. All but 3 patients underwent surgical repair, and successful closure was achieved in all but 3. However, only 1 patient remained symptomatic after surgery. The surgical technique employed includes an external rhinoplasty approach, septal and intranasal mucosal flaps, and an autograft of mastoid periosteum or temporalis fascia.
1983年7月1日至1989年6月30日期间共诊治了25例鼻中隔穿孔患者。其中男性16例，女性9例，年龄在21岁至72岁之间，中位年龄为41.7岁。大多数穿孔为外伤性，19例见于鼻中隔手术后，穿孔大小在1.5至2.5厘米之间（共20例），范围为0.5至4厘米。所有穿孔均位于犁骨 - 筛骨交界处四边形软骨的后缘。除3例患者外，其余均接受了手术修复，除3例未成功外，其余均成功闭合。然而，术后仅1例患者仍有症状。所采用的手术技术包括鼻外整形术入路、鼻中隔和鼻内黏膜瓣以及乳突骨膜或颞肌筋膜自体移植。
