CAJ | 학술논문

目的探讨鼻中隔偏曲歪鼻畸形的矫正方法,以求在改善通气功能的基础上,最大程度的实现鼻外形的美学重建.方法综合运用鼻中隔软骨部分切除、鼻中隔偏曲矫正支撑重建、鼻骨截骨、鼻尖整形或隆鼻假体置入等多种修复手段,通过Ⅰ期手术矫正鼻中隔畸形的同时,并对鼻外形进行美学重建.结果对48例患者进了1年以上的随访,非常满意者30例,满意者14例,不满意者3例,非常不满意者1例.外形满意率91.7%(44/48).术前鼻通气障碍,术后均得到不同程度缓解.结论在全面掌握鼻解剖的基础上综合运用多种手术方法,鼻中隔偏曲歪鼻畸形的矫正能获得较好的美学效果,同时改善了患者的鼻通气功能.
목적 탐토비중격편곡왜비기형적교정방법,이구재개선통기공능적기출상,최대정도적실현비외형적미학중건.방법 종합운용비중격연골부분절제、비중격편곡교정지탱중건、비골절골、비첨정형혹륭비가체치입등다충수복수단,통과Ⅰ기수술교정비중격기형적동시,병대비외형진행미학중건.결과 대48례환자진료1년이상적수방,비상만의자30례,만의자14례,불만의자3례,비상불만의자1례.외형만의솔91.7%(44/48).술전비통기장애,술후균득도불동정도완해.결론 재전면장악비해부적기출상종합운용다충수술방법,비중격편곡왜비기형적교정능획득교호적미학효과,동시개선료환자적비통기공능.
Objectives To explore a comprehensive approach for the functional and aesthetic correction of septal deviation. Methods From Jan. 2007 to Dec. 2009, 48 patients with deviation of the frontier and ceiling border of the septal cartilage, 6 males, 42 females, average age of 26.5 years, were surgically treated with a comprehensive use of several techniques, such as septoplasty, reconstruction of septal support, precise osteotomies and nasal tip plasty. Results Functional improvement achieved in all the patients, contour satisfaction achieved in 91.7 % patients; 30 patients were very satisfied, and 14 satisfied with the outcome. Conclusions With the thorough understanding of surgical anatomy of the nose and the use of comprehensive surgical approach, satisfactory outcomes can be achieved both functionally and aesthetically in patients with septal deviation.