CAJ | 학술논문

目的探讨应用螺旋CT三维重建鼻骨形态鼻内镜下矫正歪鼻畸形的手术治疗方法.方法对66例歪鼻畸形患者术前行螺旋CT三维重建鼻骨形态,了解歪鼻畸形的局部形成状况.先在鼻内镜下行鼻中隔偏曲的矫正术,后经鼻前庭前小切口在鼻内镜辅助下行歪鼻畸形矫正.结果术后1周、1个月、3个月及半年后随访,观察外鼻形状,并测量其偏离值.66例歪鼻中矫正效果优为53例,良好为11例,不满意2例.结论螺旋CT三维重建鼻骨形态可在术前充分了解歪鼻畸形局部及周围情况;采用鼻内镜能充分暴露骨折畸形愈合部位,避免破坏整体框架,使得手术创伤小,手术时间短,术后反应轻,皮肤坏死可能性减小等,因此应用螺旋CT三维重建鼻骨形态鼻内镜下矫正歪鼻畸形效果更具优势.
목적 탐토응용라선CT삼유중건비골형태비내경하교정왜비기형적수술치료방법.방법 대66례왜비기형환자술전행라선CT삼유중건비골형태,료해왜비기형적국부형성상황.선재비내경하행비중격편곡적교정술,후경비전정전소절구재비내경보조하행왜비기형교정.결과 술후1주、1개월、3개월급반년후수방,관찰외비형상,병측량기편리치.66례왜비중교정효과우위53례,량호위11례,불만의2례.결론 라선CT삼유중건비골형태가재술전충분료해왜비기형국부급주위정황;채용비내경능충분폭로골절기형유합부위,피면파배정체광가,사득수술창상소,수술시간단,술후반응경,피부배사가능성감소등,인차응용라선CT삼유중건비골형태비내경하교정왜비기형효과경구우세.
Objective To discuss the endoscopy-assisted surgery for deviated nose with the preoperative 3-D CT reconstruction. Methods Sixty-six cases with deviated nose deformities underwent preoperative 3-D CT reconstruction. The deformities were showed in detail. The deviated nasal septum and deviated nose were corrected with the assistance of nasal endoscopy. Results The patients were visited after operation at 1 week, 1 month, 3 months and 6 months. The nose shape and nose deviation were measured. Among the 66 cases, satisfactory result was achieved in 53 cases, good in 11 cases,unsatisfactory in 2 cases. Conclusions Preoperative CT reconstruction is very help in understanding the deviated nose deformity. The rhinoplasty with nasal endoscopy has good exposure of the fracture deformity with less morbidity and side effect. The intraoperative time can be decreased also.