摘要
目的:探讨鼻内窥镜辅助利用口腔黏膜瓣复合鼻腔黏膜瓣修补鼻中隔穿孔的可行性。材料和方法:从2001～2006,采用鼻内窥镜辅助带蒂口腔前庭沟黏膜瓣复合鼻腔黏膜瓣修补巨大鼻中隔穿孔16例,其中10例使用带蒂口腔前庭沟黏膜瓣复合鼻中隔黏骨膜瓣,6例使用带蒂口腔前庭沟黏膜瓣复合带蒂下鼻甲黏骨膜瓣,术后随访5月～3年。结果:3例患者在鼻腔的后份边缘在内窥镜下可见明显穿孔,半年后复查,4例患者中隔残余穿孔,出院时11例患者感觉口腔黏膜瓣进入的鼻腔侧鼻阻明显增加,半年后这种感觉明显改善,所有患者术后头昏、头痛、鼻腔干燥的症状完全消失。结论:鼻内窥镜辅助利用口腔黏膜瓣复合鼻腔黏膜瓣修补鼻中隔穿孔的方法具有较大的临床应用价值。
Objective：To explore the feasibility of nasal endoscope-aided huge nasal septum repair by the use of oral and nasal composite mucosal flap.Materials and Methods：From 2001～2006,the technique was employed to repair 16 cases of huge septum perforation,among which 10 cases with pedicled oral vestibular mucosal and septal muco-periosteal composite flap,and 6 cases with of pedicled oral vestibular mucosal and pedicled inferior turbinate composite mucosal flap.They were followed-up from 5 months to 3 years.Results：Perforation remained in 3 cases when discharged from hospital,4 residual perforations remaind for half a year during follow-up,11 patients experience nasal obstruction when discharged from hospital and the symptom was relieved half a year later.Dizziness,headache,dryness of the nasal cavity disappeared in all cases.Conclusion：The technique was feasible and will have great clinical value.
出处
《华西医学》
CAS
2008年第1期13-14,共2页
West China Medical Journal
关键词
鼻中隔
穿孔
修补
nasal septum,perforation,repair
