山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 28-32.doi: 10.6040/j.issn.1673-3770.1.2017.057

• 鼻整形外科技术论著 • 上一篇    下一篇

软骨扩展移植物治疗鼻阀功能不良

陈晓萌1, 周鹏1,方佳1,张维天1,苏开明1,2   

  1. 1.上海交通大学附属第六人民医院耳鼻咽喉头颈外科, 上海 200233;
    2.上海交通大学附属第六人民医院南院耳鼻咽喉科, 上海 201400
  • 收稿日期:2017-12-05 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 苏开明. E-mail:021china@sina.com

Use of a spreader graft for treatment of nasal valve dysfunction

CHEN Xiaomeng1, ZHOU Peng1, FANG Jia1, ZHANG Weitian1, SU Kaiming1,2   

  1. Department of Otolaryngology, South Hospital of Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 201400, China
  • Received:2017-12-05 Online:2018-01-20 Published:2018-01-20

摘要: 目的 探讨软骨扩展移植物在鼻阀功能不良治疗中的作用。 方法 回顾性分析使用软骨扩展移植物治疗的两例鼻阀功能不良患者的临床资料,并复习文献,简述该疾病的进展。 结果 两例患者均以鼻塞为主要症状,术前平静呼吸时鼻侧壁塌陷,采用软骨扩展移植物治疗后,鼻塞症状完全消失,用力吸气时,鼻侧壁塌陷消失。 结论 软骨扩展移植物是治疗鼻侧壁软骨塌陷导致鼻阀功能不良的有效手段,其长期有效性值得期待。

关键词: 鼻阀, 软骨支架, 鼻阀功能不良, 鼻塞

Abstract: Objective To explore the treatment of nasal valve compromise by using a spreader graft. Methods Two cases of patients with nasal valve compromise treated by using a spreader graft were analyzed, and a literature review was performed. Results Preoperatively, the main complaint of the two patients was nasal obstruction, and the lateral wall of the nasal cavity was found to collapse during quiet breathing. After surgery using a spreader graft, the symptom of nasal obstruction in both patients resolved, and the lateral nasal wall did not collapse even during deep inspiration. Conclusion Surgery using a spreader graft is effective for patients with nasal valve dysfunction. The long-term effects of this technique were favorable.

Key words: Nasal valve, Spreader graft, Nasal obstruction, Nasal valve compromise

中图分类号: 

  • R765
[1] Mink PJ. Le nez comme voie respiratorie[J]. Presse Otolaryngol(Belg), 1903: 481-496.
[2] Constantian MB, Brian CR. The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty[J]. Plast Reconstr Surg, 1996, 98(1):38-54
[3] Anand VK, Isaacs R. Nasal physiology and treatment of turbinate disorders[M] // Rees TD, La-Treata GS, Stilwell D, eds. Aesthetic Plastic Surgery. Philadelphia: WB Saunders, 1994.
[4] Lee J, White WM, Constantinides M. Surgical and nonsurgical treatments of the nasal valves[J]. Otolaryngol Clin North Am, 2009, 42(3):495-511.
[5] Rhee JS, Weaver EM, Park SS, et al. Clinical consensus statement: diagnosis and management of nasal valve compromise[J]. Otolaryngol Head Neck Surg, 2010, 143(1):48-59.
[6] Solomon WR, Stohrer AW. Consideration in the measurement of nasal patency[J]. Ann Otol Rhiol Laryngol, 1965, 74(4):978-990.
[7] Poetker DM, Rhee JS, Mocan BO, et al. Computed tomography technique for evaluation of the nasal valve[J]. Arch Facial Plast Surg, 2004, 6(4):240-243.
[8] Moche JA, Cohen JC, Pearlman SJ. Axial computed tomography evaluation of the internal nasal valve correlates with clinical valve narrowing and patient complaint[J]. Int Forum Allergy Rhinol, 2013, 3(7):592-597.
[9] Englhard AS, Wiedmann M, Ledderose GJ, et al. Imaging of the internal nasal valve using long-range fourier domain optical coherence tomography[J]. Laryngoscope, 2016, 126(3): E97-E102.
[10] Pawar SS. Mechanical nasal dilators to treat nasal valve compromise[J]. JAMA, 2017, 317(16):1684-1685.
[11] Paccoi P, Di Peco V. Septal cartilage graft for nasal valve incompetence associated with deviated septum[J]. Am J Rhinol, 2007, 21(5):622-625.
[12] Hurbis CG. An adjustable, butterfly-design, titanium-expanded polytetrafluoroethylene implant for nasal valve dysfunction: a pilot study[J]. Arch Facial Plast Surg, 2006, 8(2):98-104.
[13] Menger DJ, Swart KM, Georgalas C, et al. Surgery of the external nasal valve: the correlation between subjective and objective measurents[J]. Clin Otolaryngol, 2014, 39(3):150-155.
[1] 刘雅璇,应央央,王岩,窦双,李延忠,马德东. 呼气正压鼻塞治疗阻塞性睡眠呼吸暂停低通气综合征的安全性和疗效评估[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 31-37.
[2] 苏法仁,薄琳,丁静华,刘新刚. 外伤后耳郭缺损的修复[J]. 山东大学耳鼻喉眼学报, 2013, 27(1): 33-35.
[3] 韩浩伦综述, 吴玮审校 . 先天性小耳畸形手术治疗进展[J]. 山东大学耳鼻喉眼学报, 2012, 26(1): 85-88.
[4] 周义德,郑宏良,沈小华,周容珏,刘锋,章如新 . 伴高血压的鼻部阻塞性疾病患者术后血压观察[J]. 山东大学耳鼻喉眼学报, 2006, 20(4): 317-318 .
[5] 封新荣,张红霞,许贞姬,曲君君 . 射频消融术治疗慢性肥厚性鼻炎[J]. 山东大学耳鼻喉眼学报, 2006, 20(3): 225-226 .
[6] 李延忠,王岩,王欣 . 鼻通气手术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效[J]. 山东大学耳鼻喉眼学报, 2006, 20(1): 53-57 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 戚敏, 李红, 王倩, 涂翠芳, 杨钦泰, 徐惠清. 加速康复外科理念在功能性内镜鼻窦手术围手术期护理的初步应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 13 -18 .
[2] 方芳,于亚君. 平阳霉素注射治疗鼻咽部血管畸形1例报告[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 86 .