| 苏小磊，廖剑绚，李明.再次鼻中隔矫正术效果评价及方法探讨.[J].中南医学科学杂志.,2011,39(1):65-67. |
| 再次鼻中隔矫正术效果评价及方法探讨 |
| Revision Reconstruction of Deviated Nasal Septum |
| 投稿时间：2010-10-08 |
| DOI： |
| 中文关键词: 鼻中隔 手术 鼻内镜 |
| 英文关键词:nasal septum surgery nasal endoscope |
| 基金项目: |
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| 中文摘要: |
| 目的探讨再次手术的意义和技术方法。方法对行鼻中隔矫正术失败的28例患者进行失败原因分析，根据鼻中隔偏曲的部位、软骨和骨质的残留状况以及患者年龄，采用三种不同的手术切口（径路）进行矫正：对6例鼻中隔前端偏曲，1例低位偏曲和12例高位偏曲的病人采用鼻中隔前端“U”形切口；对7例鼻中隔后端偏曲的病例，辅助鼻内镜进行偏曲部位的前方作纵向切口；对2例鼻中隔前端低位偏曲的青少年患者采用唇龈沟正中横切口，向上揭翻，辅助鼻科电钻进行手术。结果28例均获矫正，鼻中隔偏曲引起的临床症状消失或明显改善，伴发的疾病症状也获得明显改善。结论鼻中隔偏曲的再次矫正术需针对不同的临床特点，选择正确的手术方法，可获满意效果。 |
| 英文摘要: |
| ObjectiveTo explore the surgical techniques for revision reconstruction of deviated nasal septum.Methods28 cases which had undergone nasal septum reconstruction were evaluated rhinologically and the causes of unsuccessful septolasty were analysed.Based on the location and extent of deviation,the status of residual cartilage and bone and age,one of three incisions were choosen during septal surgeries:for 6 cases with anterior,1 with inferior and 12 with superior deviation,a “U” shaped incision at the left side of anterior edge of septum cartilage was used;for 7 cases with posterior,the site of the incision was located just anterior to the deviation,with the aid of endoscope techniques;for 2 cases with anteroinferior deviation,because of their young age,a sublabial incision was made to deglore the mucosa of the septum and base of nasal cavity,the otological electronic drill was then used.ResultsNasal septum reconstruction was successful in all cases.The symptoms resulting from septal deviation disappeared or were significantly relieved.Following successful revision surgery,the treatment outcomes of concomitant nasal diseases also significantly improved.ConclusionRevision reconstruction of deviation septum requires different approaches depending on different clinical characteristics.A successful correction of septal deviation can not only relieve the symptoms derived from deviation,but also be of significance for treatment of concomitant nasal and/or sinusal diseases. |
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