中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2012年
3期
241-243
,共3页
内窥镜检查%耳鼻喉外科手术%外科整形%鼻中隔
內窺鏡檢查%耳鼻喉外科手術%外科整形%鼻中隔
내규경검사%이비후외과수술%외과정형%비중격
Endoscopy%Otorhinolaryngologic surgical procedures%Surgery,plastic%Nasal septum
目的 观察内镜下四线减张法鼻中隔整形-鼻整形矫正由鼻中隔基本平直但偏离中线引起的外鼻软骨锥段歪鼻的可行性及疗效.方法 选择2009年12月至2011年4月由鼻中隔偏曲引起的软骨段歪鼻和鼻尖部畸形的患者17例,根据方形软骨偏曲的特点分为4型:方形软骨前缘脱位偏曲型,鼻尖歪向方形软骨脱位侧；方形软骨前后偏曲型,外鼻软骨锥段偏斜,与鼻骨呈钝角,鼻尖歪向方形软骨脱位侧；方形软骨后缘偏曲型,鼻背呈C形或反C形歪曲；方形软骨上下偏曲型,鼻背偏向一侧.根据鼻中隔偏曲的不同类型,制订相应的手术方案:在鼻内镜下经鼻内进路分离方形软骨与周围骨、软骨和鼻小柱的连接,调整方形软骨与周围骨和软骨的连接方式,去除连接处多余骨或软骨条,即通过方形软骨前缘、下缘、后缘、上缘四线减张法达到鼻中隔整形同期鼻整形的目的.结果 17例患者全部取得了良好的疗效,既解决了鼻塞问题,又改善了鼻外形,未见并发症.结论 在鼻内镜下四线减张法鼻中隔整形-鼻整形可以矫正由方形软骨偏曲引起的歪鼻.
目的 觀察內鏡下四線減張法鼻中隔整形-鼻整形矯正由鼻中隔基本平直但偏離中線引起的外鼻軟骨錐段歪鼻的可行性及療效.方法 選擇2009年12月至2011年4月由鼻中隔偏麯引起的軟骨段歪鼻和鼻尖部畸形的患者17例,根據方形軟骨偏麯的特點分為4型:方形軟骨前緣脫位偏麯型,鼻尖歪嚮方形軟骨脫位側；方形軟骨前後偏麯型,外鼻軟骨錐段偏斜,與鼻骨呈鈍角,鼻尖歪嚮方形軟骨脫位側；方形軟骨後緣偏麯型,鼻揹呈C形或反C形歪麯；方形軟骨上下偏麯型,鼻揹偏嚮一側.根據鼻中隔偏麯的不同類型,製訂相應的手術方案:在鼻內鏡下經鼻內進路分離方形軟骨與週圍骨、軟骨和鼻小柱的連接,調整方形軟骨與週圍骨和軟骨的連接方式,去除連接處多餘骨或軟骨條,即通過方形軟骨前緣、下緣、後緣、上緣四線減張法達到鼻中隔整形同期鼻整形的目的.結果 17例患者全部取得瞭良好的療效,既解決瞭鼻塞問題,又改善瞭鼻外形,未見併髮癥.結論 在鼻內鏡下四線減張法鼻中隔整形-鼻整形可以矯正由方形軟骨偏麯引起的歪鼻.
목적 관찰내경하사선감장법비중격정형-비정형교정유비중격기본평직단편리중선인기적외비연골추단왜비적가행성급료효.방법 선택2009년12월지2011년4월유비중격편곡인기적연골단왜비화비첨부기형적환자17례,근거방형연골편곡적특점분위4형:방형연골전연탈위편곡형,비첨왜향방형연골탈위측；방형연골전후편곡형,외비연골추단편사,여비골정둔각,비첨왜향방형연골탈위측；방형연골후연편곡형,비배정C형혹반C형왜곡；방형연골상하편곡형,비배편향일측.근거비중격편곡적불동류형,제정상응적수술방안:재비내경하경비내진로분리방형연골여주위골、연골화비소주적련접,조정방형연골여주위골화연골적련접방식,거제련접처다여골혹연골조,즉통과방형연골전연、하연、후연、상연사선감장법체도비중격정형동기비정형적목적.결과 17례환자전부취득료량호적료효,기해결료비새문제,우개선료비외형,미견병발증.결론 재비내경하사선감장법비중격정형-비정형가이교정유방형연골편곡인기적왜비.
Objective To explore the effect of four line tension.relaxing septorhinoplasty for nasal deviation complicated with the deformity of nasal septal cartilage under endoscope.Methods Seventeen patients with nasal septum deviation from December 2009 to April 2011 were included in this stuy.The patients were divided into different groups depending on different deformity of quadrangular cartilage.Different surgical methods were used according to different deviation of nasal septum.First,a C-shape or Lshape incision was made on one side of the nasal septum under endoscope,then the nasal septal cartilage was separated from the angle formed by two greater alar cartilages,perpendicular plate of the ethmoid bone,the junction of vomer and maxilla at the nasal crest,and the upper lateral cartilage,this procedure was applied to correct deviation of nasal septum and nasal pyramid by decompression,which was named four lines tension relaxing correction.Results Seventeen patients with nasal septal deviation obtained satisfied curative effect. Nasal deviation and deviation of nasal septum were all corrected,patients got better appearance and good nasal ventilation, no complication was observed. Conclusion Nasal deviation complicated with the deformity of nasal septal cartilage could be completely corrected by only one septorhinoplasty operation—four lines tension relaxing correction.
