Cantrell H
Division of Otolaryngology, Cooper Hospital/University Medical Center, Camden, NJ 08103, USA.
Otolaryngol Head Neck Surg. 1997 Feb;116(2):274-7. doi: 10.1016/S0194-59989770342-5.
Septoplasty, in its myriad forms, has been used for decades as a treatment to correct nasal airway obstruction. In some cases septoplasty is done to achieve adequate visualization for further work on the nose or paranasal area. With the onset of FESS the correction of the deviated septum has increasingly been done to facilitate adequate visualization and to allow room for endoscopic instrumentation. Limited septoplasty incorporates parts of both classic nasal septal reconstruction (or Cottle septoplasty) and submucous resection of the septum. Limited septoplasty is primarily used when there is a specific deviation of the septum that limits the ability of the surgeon to accomplish surgical goals-namely, adequate visualization of the surgical field during surgery and during postoperative care. Decreased nasal obstruction is only a secondary consideration for limited septoplasty.
鼻中隔成形术有多种形式，几十年来一直被用作治疗鼻气道阻塞的方法。在某些情况下，进行鼻中隔成形术是为了获得足够的视野，以便对鼻子或鼻窦区域进行进一步操作。随着功能性内镜鼻窦手术（FESS）的出现，矫正鼻中隔越来越多地是为了便于获得足够的视野，并为内镜器械操作留出空间。有限鼻中隔成形术结合了经典鼻中隔重建术（或科特尔鼻中隔成形术）和鼻中隔黏膜下切除术的部分内容。有限鼻中隔成形术主要用于鼻中隔存在特定偏曲，限制外科医生实现手术目标的能力时，即手术期间和术后护理期间对手术视野的充分观察。减轻鼻阻塞只是有限鼻中隔成形术的次要考虑因素。
