摘要
目的:探讨歪鼻矫正鼻功能重建的手术效果。方法:102例歪鼻患者全部采用鼻内进路。行鼻中隔"摇门"术矫正软骨性歪鼻32例,行骨鼻锥松动、重塑术矫正骨性歪鼻和鼻软骨混合性歪鼻53例,骨鼻锥楔形切除矫正严重骨鼻锥不对称性歪鼻3例,削低或垫高骨鼻锥矫正不规则性歪鼻14例。结果:随访6～48个月(平均20个月),歪鼻矫正良好92例,满意率为92.2%。结论:鼻内进路、多种技术应用矫正歪鼻畸形重建鼻功能,可获得美容和鼻功能改善的双重效果。术中矫正鼻中隔、彻底松解畸形部位的组织及矫正后的内外固定是保证手术成功的关键。
Objective：To explore an effective method of correction of deviated nose and functional reconstructive nasal surgery.Method：Among 102 patients 32 cases were treated by septoplasty only,53 cases were corrected by bony pyramid,3 cases with severe asymmetry of bony pyramid by wedge resection and 14 cases by the implant of the septal or rip cartilage.Result：The successful rate was 92.20%（92/102）with period of 6 to 24 months follow up.Conclusion：Correcting the deviated nose to reconstruct its function with the intranasal approach and multiple techniques,can benefit both the cosmetology and nasal functional improvement.Rectifying the nasal septum,debonding the tissue of the deviated section completely,and fixing reconstructive structures are the keys for the successful result.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第17期788-791,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
歪鼻
鼻中隔
外科
手术
deviated nose
nasal septum
surgery
operation
