Adamson P A, McGraw-Wall B L, Strecker H D, Gillman G S
Department of Otolaryngology, University of Toronto, Faculty of Medicine, Ontario.
J Otolaryngol. 1998 Aug;27(4):200-5.
Vestibular stenosis is an uncommon but debilitating cause of nasal obstruction. The etiology of the stenosis is variable, but iatrogenic causes are by far the most common. A number of techniques have been described for repair of the stenotic segment. We present a surgical technique that employs the concepts of: excision of the stenotic segment, enlargement of the bony pyriform aperture, and placement of a full-thickness skin graft.
Our results have been very favourable, and we have documented improvement in nasal obstruction by performing preoperative and postoperative nasal airflow studies on all our patients.
These results suggest that significant improvement in nasal airflow can be obtained in most patients with the use of this technique.
前庭狭窄是一种罕见但会导致鼻塞的使人衰弱的病因。狭窄的病因多种多样，但医源性病因是迄今为止最常见的。已经描述了多种修复狭窄段的技术。我们提出一种手术技术，该技术采用以下理念：切除狭窄段、扩大骨性梨状孔以及植入全厚皮片。
我们的结果非常理想，并且通过对所有患者进行术前和术后鼻气流研究，我们记录了鼻塞情况的改善。
这些结果表明，使用该技术大多数患者的鼻气流可得到显著改善。
