CAJ | 학술논문

目的：探讨再次鼻中隔矫正术的效果和手术技巧。方法回顾性分析我院2007年5月至2015年5月收治的鼻中隔二次手术患者的临床资料，总结鼻内镜下再次鼻中隔矫正术的手术技巧和疗效。结果鼻内镜下采用两种手术切口对鼻中隔矫正失败的23例患者进行再次鼻中隔矫正术：对10例高位偏曲和4例前段偏曲的患者采用鼻中隔前端“U”形切口；对4例低位和5例后段偏曲患者，在偏曲部位的前方作纵向切口。23例患者均获得满意矫正，鼻中隔偏曲引起的临床症状消失或明显改善，无手术并发症。结论鼻内镜下再次鼻中隔矫正术野清晰、操作方便，可获得满意效果。
목적：탐토재차비중격교정술적효과화수술기교。방법회고성분석아원2007년5월지2015년5월수치적비중격이차수술환자적림상자료，총결비내경하재차비중격교정술적수술기교화료효。결과비내경하채용량충수술절구대비중격교정실패적23례환자진행재차비중격교정술：대10례고위편곡화4례전단편곡적환자채용비중격전단“U”형절구；대4례저위화5례후단편곡환자，재편곡부위적전방작종향절구。23례환자균획득만의교정，비중격편곡인기적림상증상소실혹명현개선，무수술병발증。결론비내경하재차비중격교정술야청석、조작방편，가획득만의효과。
Objective To explore the clinical significance and surgical technique for revisionary submucous resection of nasal septum.Methods The clinical data of patients who taken revision-ary nasal septum reconstruction surgery was collected from a retrospective analysis,in order to summarize the clinical significance and surgical technique.Results One of the two incisions was chosen for the 23 unsuccessful septoplasty patients:for 10 cases with superior,4 cases with in-ferior deviation,a “U” shaped incision at the left side of anterior edge of septum cartilage was used while for 4 cases with inferior,5 cases with posterior deviation,the site of the incision was located just anterior to the deviation,with the aid of nasal endoscope.Revision nasal septoplasty was successful in all cases.The symptoms resulting from septal deviation disappeared or signifi-cantly relieved without any complications.Conclusion With the aido f nasal endo cs ope,revision nasal septoplasty could acquire pear clear vision and satisfied effect.