Numanoğlu A
Department of Plastic and Reconstructive Surgery, University School of Medicine, Istanbul, Turkiye.
Plast Reconstr Surg. 1997 Jul;100(1):250-6. doi: 10.1097/00006534-199707000-00037.
Development of mucoperichondrial and mucoperiosteal flaps bilaterally, total removal of the deviated septum, straightening it outside, followed by replacement as a free graft constitute an option in treatment of the severely deviated nose. Positioning and stabilization of the septum in this technique may prove insufficient in the majority of septorhinoplasty patients in whom both nasal bones are also immobilized. Positioning and stabilization can be achieved adequately by the use of the presented technique that involves passing a 3-0 nylon suture to suspend the cartilage replant to a plastic splint applied to the dorsum of the nose, one-third of which is taped over the realigned nasal bones. In the past 5 years, 45 patients have undergone septorhinoplasty using this technique. The minimum follow-up period was 6 months. No patient developed any major complications. Secondary correction was necessary to improve the aesthetic result in only one patient. The results in patients who underwent this surgical procedure suggest that the presented technique provides excellent results in severely deviated noses associated with major deviations of the septum but must be limited only to those whose deformity is so severe that other techniques will be insufficient to obtain the desired result.
双侧黏膜软骨膜瓣和黏膜骨膜瓣的形成、完全切除偏曲的鼻中隔、在体外将其矫正，随后作为游离移植物进行复位，是治疗严重鼻中隔偏曲鼻的一种选择。在大多数鼻中隔成形术患者中，若鼻骨也固定不动，该技术中鼻中隔的定位和稳定可能并不充分。通过使用所介绍的技术，即穿过一根3-0尼龙缝线将软骨再植体悬吊至应用于鼻背的塑料夹板上，其中三分之一粘贴在重新排列的鼻骨上，可充分实现定位和稳定。在过去5年中，45例患者采用该技术进行了鼻中隔成形术。最短随访期为6个月。无患者出现任何严重并发症。仅1例患者需要进行二次矫正以改善美学效果。接受该手术的患者结果表明，所介绍的技术在伴有严重鼻中隔偏曲的严重偏曲鼻中可提供优异结果，但必须仅限于那些畸形严重到其他技术不足以获得预期效果的患者。
