Min Y G, Chung J W
Department of Otorhinolaryngology, Seoul National University College of Medicine, Korea.
ORL J Otorhinolaryngol Relat Spec. 1996 Jan-Feb;58(1):51-4. doi: 10.1159/000276796.
Although cartilaginous incisions are effective in straightening the deviation of the cartilaginous septum, the resultant morbidity is seldom addressed. We examined 1,164 patients who underwent septoplasty by the senior author. The patients were randomly subjected either to septal reconstruction by conventional cartilaginous incisions or to our modification of cartilaginous incisions. During the follow-up of 11 months to 7 years with an average of 2.5 years, saddle deformity of the external nose was observed in 10 of 567 patients (1.8%) who underwent septal reconstruction by conventional septal incisions, while no saddle nose deformity was observed in patients who underwent septal reconstruction by our modification of septal cartilaginous incision. Inattention to cartilaginous weakening from incisions may expose the patient to an unnecessary risk of complications. Nasal resistance on the narrow side of the nose was significantly decreased after septal reconstruction using the two techniques of cartilaginous incision. The results of this study suggest that our modification of cartilaginous incision may be an efficient, safe technique to decrease nasal resistance and to prevent saddle nose deformity of the external nose after septal surgery.
尽管软骨切口在矫正鼻中隔软骨偏曲方面有效，但由此产生的发病率却很少得到关注。我们检查了由资深作者实施鼻中隔成形术的1164例患者。这些患者被随机分为两组，一组通过传统软骨切口进行鼻中隔重建，另一组采用我们改良的软骨切口。在平均2.5年（11个月至7年）的随访期间，567例通过传统鼻中隔切口进行鼻中隔重建的患者中有10例（1.8%）出现了外鼻鞍鼻畸形，而采用我们改良的鼻中隔软骨切口进行鼻中隔重建的患者中未观察到鞍鼻畸形。对切口导致的软骨弱化关注不足可能会使患者面临不必要的并发症风险。使用这两种软骨切口技术进行鼻中隔重建后，鼻子狭窄侧的鼻阻力显著降低。这项研究的结果表明，我们改良的软骨切口可能是一种有效、安全的技术，可降低鼻阻力并预防鼻中隔手术后外鼻鞍鼻畸形。
