Paniello R C
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Mo, USA.
Arch Otolaryngol Head Neck Surg. 1996 Dec;122(12):1342-6. doi: 10.1001/archotol.1996.01890240050011.
To evaluate a new operative technique for treating nasal valve collapse for safety and effectiveness.
A nonrandomized pilot study of patients with complaints of nasal airway obstruction, a positive Cottle maneuver, and clinical findings of nasal valve collapse. Follow-up ranged from 1 to 20 months.
Academic medical center, including a Veterans Affairs hospital.
Twelve men aged 38 to 73 years (mean age, 59.3 years).
Subjective self-assessment scores for nasal airflow were collected on a 10-point scale. Anterior rhinomanometry, acoustic rhinometry, and photographic analysis provided objective data.
The procedure involves accessing the orbital rim by a transconjunctival incision, then passing sutures from the nose to this incision where they may be affixed to the orbital rim. The collapsing tissue of the nasal valve is thus supported and collapse is prevented.
All patients reported immediate subjective improvement in their symptoms of nasal obstruction; this was reflected in their self-assessment scores. The rhinomanometry showed reduced nasal resistance in 10 (83%) of 12 patients. The acoustic rhinometry showed an increase in minimum cross-sectional area in 2 (33%) of 6 patients, with the others remaining stable. The photographic analysis revealed mild widening of the mid-third of the nose in 6 of 12 patients, although this was not of concern to the patients. There were no major complications.
Nasal valve suspension is a safe and effective procedure for treatment of nasal valve collapse.
评估一种治疗鼻瓣膜塌陷的新手术技术的安全性和有效性。
对主诉鼻气道阻塞、Cottle试验阳性且有鼻瓣膜塌陷临床表现的患者进行非随机前瞻性研究。随访时间为1至20个月。
学术医疗中心，包括一家退伍军人事务医院。
12名年龄在38至73岁（平均年龄59.3岁）的男性。
采用10分制收集患者鼻气流主观自我评估分数。前鼻测压法、声反射鼻测量法和影像学分析提供客观数据。
该手术通过经结膜切口进入眶缘，然后将缝线从鼻腔穿过至该切口并固定于眶缘。由此支撑鼻瓣膜塌陷组织，防止塌陷。
所有患者均报告鼻塞症状立即得到主观改善，这在他们的自我评估分数中得到体现。鼻测压显示12例患者中有10例（83%）鼻阻力降低。声反射鼻测量显示6例患者中有2例（33%）最小横截面积增加，其他患者保持稳定。影像学分析显示12例患者中有6例鼻中部轻度增宽，不过患者对此并不在意。未发生重大并发症。
鼻瓣膜悬吊术是治疗鼻瓣膜塌陷的一种安全有效的手术方法。
