鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术

doi:10.6040/j.issn.1673-3770.1.2017.053

山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 33-36.doi: 10.6040/j.issn.1673-3770.1.2017.053

• 鼻整形外科技术论著 • 上一篇下一篇

鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术

华骋¹, 陈振雨¹,张维娜¹,李娜²

1. 青岛大学附属医院美容整形外科;
2. 青岛大学附属医院耳鼻咽喉头颈外科, 山东青岛 266003

收稿日期:2017-11-20 出版日期:2018-01-20 发布日期:2018-01-20
通讯作者: 陈振雨. E-mail:czy.plastic@126.com; 李娜. E-mail:dr.lina@163.com

Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction

HUA Cheng¹, CHEN Zhenyu¹, ZHANG Weina¹, LI Na²

Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China

Received:2017-11-20 Online:2018-01-20 Published:2018-01-20

摘要/Abstract

摘要： 目的总结33例外鼻畸形伴鼻中隔偏曲患者施行内镜辅助下鼻整形术同期鼻中隔偏曲矫正术的临床资料,分析手术方法和术后疗效。方法患者均在全麻下经鼻小柱鼻前庭做切口,骨膜下暴露鼻骨及上颌骨额突,在内镜辅助下进行截骨整复并矫正鼻中隔,酌情将取出的自体鼻中隔骨质及软骨条修整后填于塌陷处或支撑鼻小柱、修整鼻尖等。术中可同期行下鼻甲成形术。随访3个月以上。结果全部患者术后均取得满意的整形效果,鼻腔通气良好。结论鼻内镜辅助下鼻整形术同期行鼻中隔偏曲矫正术效果好,无排异反应,不仅能改善鼻部外观,而且能改善鼻腔通气效果。

关键词: 鼻中隔偏曲, 外鼻畸形, 鼻内镜外科手术, 外科,整形

Abstract: Objective To summarize the clinical data of 33 patients with crooked nose and nasal septum deviation undergoing endoscope-assisted nasal plastic surgery and nasal septum deviation correction, and to analyze the surgical methods used and postoperative effects. Methods All patients underwent endoscope-assisted osteotomy and correction of the nasal septum via the nasal cannula, the nasal vestibule incision under general anesthesia, with exposure of the subperiosteal nasal and maxillary frontal processes. The removed nasal septum and cartilage were trimmed to fill the collapsed area and support the columella, and a dressing was applied to the nose. Turbinoplasty was also performed during the procedure. After surgery, all patients were followed-up for more than 3 months. Results All patients achieved satisfactory surgical outcomes and good nasal ventilation. Conclusion Nasal endoscope-assisted rhinoplasty and nasal septum deviation correction are effective and without rejection. This procedure can not only improve the appearance of the nose, but can also improve nasal ventilation.

Key words: Endoscopic surgical procedures, operative, Nasal septum deviation, Surgery, plastic, Crooked nose

中图分类号:

R765.9

华骋, 陈振雨,张维娜,李娜. 鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 33-36.

HUA Cheng, CHEN Zhenyu, ZHANG Weina, LI Na. Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 33-36.

参考文献

[1] 祖青, 米丛波, 李运科, 等. 中国美貌汉族女性鼻部特征的测量[J]. 中国组织工程研究, 2012, 16(2):372-376. ZU Qing, MI Congbo, LI Yunke, et al. Analysis of female nasal characteristics in Chinese beautiful Hans females[J]. Chin J Tiss Eng Res, 2012, 16(2):372-376.
[2] 贺智晶, 翦新春, 高兴, 等. 汉族正常年轻成年女性外鼻软组织测量及比较研究[J]. 中国美容整形外科杂志, 2010, 21(5):272-276. HE Zhijing, JIAN Xinchun, GAO Xing, et al. Anthropometric measurement and comparative study of the external nasal soft-tissue in normal Han adult females[J]. Chin J Aesth Plast Surg, 2010, 21(5):272-276.
[3] Shafki AG, Youssef TA. Benefit of combined endoscope sinus surgery and aesthetic rhinoplasty[J]. Auris Nasus Larynx, 2013, 40(1):71-75.
[4] 王丰, 京萨, 周成勇, 等. 鼻内镜下鼻中隔整形鼻整形术再探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(15):693-696. WANG Feng, JING Sa, ZHOU Chengyong, et al. More exploration on endoscopic rhinoplasty and septoplasty[J]. J Clin Otorhinolaryngol Head Neck Surg, 2010, 24(15):693-696.
[5] 梁刚, 王肃生, 张志华, 等. 鼻中隔软骨在鼻尖整形和修复隆鼻手术中的应用效果研究[J]. 中国医学创新, 2017, 14(6):29-32. LIANG Gang, WANG Susheng, ZHANG Zhihua, et al. The effect study of nasal septal cartilage application in rhinoplasty and repair augmentation rhinoplasty surgery[J]. Med Innovation Chin, 2017, 14(6):29-32.

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鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术

Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction

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