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[鼻腔外狭窄阈瓣膜手术:技术与生物力学解释]

[Surgery of the narrow liminal valve extranasal let out: technic and biomechanical explanation].

作者信息

Arbour P, Bilgen E, Girardin M

出版信息

J Otolaryngol. 1976 Jun;5(3):256-62.

PMID:933255
Abstract

Using cadaver material and drawings, the surgical procedure called "let out" of the nasal pyramid was described. It utilizes the principles of conservation of the skeletal integrity of the nasal dorsum of the "push down". This procedure is indicated in patients with a narrow valve and high thin nose, without vasomotor rhinopathy or allergy. A patient illustrates the good functional results of the surgery as shown by the base view and the secondary benefits from an appearance standpoint as shown by the profile view. We thought that we could explain the improved nasal ventilation by an augmentation of the cross section area of the nose at the valve. Measurements on the cadaver showed that the area was smaller after surgery. We hypothesized finally that the improved rigidity of the valve secondary to its shortening and the augmentation of the angle of the liminal valve created a conduit that allowed normal inspiratory flow through the nose.

摘要

利用尸体材料和绘图,描述了一种名为“鼻锥体放出”的外科手术。它采用了“下压”鼻背骨骼完整性保留的原则。该手术适用于瓣膜狭窄、鼻高而薄且无血管运动性鼻炎或过敏的患者。一名患者展示了手术良好的功能效果,如仰视图所示,以及从侧面外观角度显示的次要益处。我们认为可以通过增加瓣膜处鼻腔的横截面积来解释鼻腔通气的改善。对尸体的测量表明,术后该区域变小。我们最终推测,瓣膜缩短继发的瓣膜硬度增加以及阈瓣膜角度的增大形成了一个通道,使正常吸气气流能够通过鼻腔。

相似文献

1
[Surgery of the narrow liminal valve extranasal let out: technic and biomechanical explanation].[鼻腔外狭窄阈瓣膜手术:技术与生物力学解释]
J Otolaryngol. 1976 Jun;5(3):256-62.
2
Understanding aerodynamics in the correction of the narrow nose.理解窄鼻矫正中的空气动力学原理。
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3
[The nasal valve area: structure, function, clinical aspects and treatment. Sulsenti's technic for correction of valve deformities].
Acta Otorhinolaryngol Ital. 1989;9 Suppl 22:1-25.
4
Long term evaluation of "push down" procedures.“下压”手术的长期评估
Rhinology. 1975 Jun;13(1):25-32.
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Morphological variation and airflow dynamics in the human nose.人类鼻腔的形态变异与气流动力学
Am J Hum Biol. 2004 Nov-Dec;16(6):625-38. doi: 10.1002/ajhb.20074.
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Nasal valve physiology. Implications in nasal surgery.鼻瓣生理学。对鼻外科手术的影响。
Otolaryngol Clin North Am. 1987 Nov;20(4):699-719.
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Rev Laryngol Otol Rhinol (Bord). 2006;127(1-2):15-22.
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[Global mobilization of the nasal pyramid according to Cottle's technic: its possibilities in functional nose surgery].
Acta Otorhinolaryngol Belg. 1968;22(6):675-80.
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Inspiratory and expiratory effects of nasal breathing.鼻腔呼吸的吸气和呼气效应。
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Aesthetic Plast Surg. 2004 Nov-Dec;28(6):445-55. doi: 10.1007/s00266-004-0020-x. Epub 2004 Dec 2.