摘要
目的观察鼻骨和鼻中隔软骨同期矫正治疗歪鼻畸形的效果。方法 2008年6月至2012年3月我科收治25例陈旧外伤性歪鼻畸形患者,全麻下经鼻腔内软骨间切口行鼻骨外侧及旁正中截骨,将歪曲鼻骨游离并复位,矫直骨性支架;经鼻小柱及鼻翼软骨前缘联合切口暴露、松解或切除部分偏曲鼻中隔软骨,矫直软骨性支架。结果随访3～12个月,21例为优,4例为良,无并发症发生。结论对陈旧外伤性歪鼻畸形,同期行鼻骨和鼻中隔软骨矫正,效果良好,值得临床推广。
Objective To observe the effect of simultaneous correction of nasal bone and nasal septum cartilage on the treatment of traumatic wry nose deformity. Methods From June 2008 to March 2012, 25 patients with old posttraumatic wry nose deformity were treated under the general anesthesia. The nasal bone was exposed through the transcartilage incision and corrected by lateral nasal osteotomy and central nasal osteotomy. The nasal septum cartilage was exposed through the columella combined with the alar cartilage. The deviated nasal septum cartilage was corrected by release or excision. Results The period of follow-up ranged from 3 months to 1 year. The outcome was excellent in 21 patients and good in 4 patients. The nasal deformities were corrected satisfactorily with no complication. Conclusion Simultaneous correction of nasal bone and nasal septum cartilage has good effect on old posttraumatic wry nose deformity, and it is worth clinical promotion.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2013年第2期169-171,共3页
Journal of Third Military Medical University
基金
重庆市自然科学基金(CSTC2011jjA0729)~~
关键词
鼻骨
鼻中隔
软骨
鼻成形术
nasal bone
nasal septum
cartilage
rhinoplasty
