山东大学耳鼻喉眼学报

• 无栏目 • 上一篇    下一篇

鼻中隔骨、软骨栅状缝合回置法
治疗青少年鼻中隔偏曲

马敬,何军玲,周柳青   

  1. (中国人民解放军兰州军区总医院耳鼻咽喉-头颈外科, 兰州 730050)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-02-16 发布日期:2009-02-16

Grillform suture of bone and cartilage of the nasal septum in the treatment of deflection of the nasal septum in teenagers

MA Jing, HE Junling, ZHOU Liuqing
  

  1. (Department of Otorhinolaryngology, Lanzhou General Hospital, Chinese PLA, Lanzhou 730050, China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2009-02-16 Published:2009-02-16

摘要: 目的探讨鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲的可行性及疗效。方法全身麻醉下行黏膜下鼻中隔骨、软骨上至鼻顶,下至鼻底的大块切除,体外修平鼻中隔软骨部侧突的嵴突,依据软骨部、骨部偏曲弧度的大小,将软骨纵行切割成宽0.3~0.5?cm条状,骨部则采取骨折取平或修剪成平直块状,用5°带针可吸收线将相邻软骨条中上及中下1/4处,骨、软骨间及骨、骨间间断缝合固定,缝合间距0.1?cm,将骨、软骨栅回置,缝合切口。结果患者均无并发症,随访2~3.5年,患者鼻腔通气良好,无鼻小柱回缩、鼻底增宽等外鼻形状改变,鼻中隔居中无穿孔,用力呼吸鼻中隔无飘动。结论鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲切实可行。

关键词: 鼻中隔偏曲, 鼻中隔矫正术, 青少年

Abstract: To explore the feasibility and curative effect of grillform suture of bone of the nasal septum and cartilage in the treatment of deflection of the nasal septum in teenagers. MethodsThe bulk which initiated from bone of the nasal septum and cartilage from inframucosa to the nasal roof and basis nasi,was removed under general anesthesia. The cristae in the lateral protrusion of the pars cartilaginea septi nasi was repaired to evenness, the cartilage was dissected to a stickform of 0.30.5?cm width. Based on the size of the flankcurvature radian in the cartilaginous and the bony parts, bone fracture was used to flatten or trim the bony part, the buck of closing cartilage was from upper inframedium to 1/4 lower infra medium and interruptedly sutured with a 5° needle of absorption line by 0.1cm. Grill of the bone and cartilage were reestablished and the incision was sutured. ResultsComplications were not found in all patients during a 23.5 year followup. The nasal passage was good for ventilation, the external nose shape was not changed, and the nasal septum had no perforation and flutter in forced breathing. ConclusionGrillform suture in bone of the nasal septum and cartilage is a feasible method for recurring deflection of the nasal septum in children.

中图分类号: 

  • R765.31
[1] 杜康丽,郑振宇,徐战将,张宇,陈露,卢梦垚. 鼻中隔偏曲并发慢性鼻窦炎风险预测模型的构建与验证[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 78-86.
[2] 张瑾,亓志玲,王少华,赵玉凤,马旭,吴允刚. 神经纤维瘤病Ⅰ型新致病基因突变1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(2): 73-78.
[3] 马静,张敏,朱歆洁. 青少年口咽部畸胎瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(2): 89-97.
[4] 杨波,邱昌余,邹鑫源,殷敏,朱歆洁,程雷,陆美萍. 影响鼻中隔偏曲患者手术效果的预测因素分析[J]. 山东大学耳鼻喉眼学报, 2023, 37(6): 164-170.
[5] 孙笑晗,李娜,陈凯璇,陈敏,闫舒,车飞. ROE量表在外鼻畸形合并鼻中隔偏曲患者手术前后生存质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 87-91.
[6] 徐建慧,李欣,寸晶晶,叶飞. 加速康复外科在鼻中隔偏曲矫正术围手术期的应用效果[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 21-24.
[7] 陈凯, 王君, 唐玥玓. 鼻畸形矫正同期鼻中隔偏曲矫正术治疗严重外伤性鼻畸形一例[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 121-124.
[8] 王海英. 鼻内镜下二线减张鼻中隔矫正术43例临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 166-168.
[9] 韩阳,杨小健,唐力行,王蓬鹏,张杰,葛文彤. 鼻腔鼻窦青少年型骨化纤维瘤六例临床分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 79-83.
[10] 陈望兴,赵雪,刘岩,刘悦,金春顺. 鼻中隔偏曲及慢性鼻窦炎鼻息肉患者的精神心理状态调查[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 24-27.
[11] 王磊, 袁英, 于学民, 韩玉娥, 王宁, 李晓, 李泽晶, 李龙. 鼻中隔连续贯穿缝合技术在鼻中隔偏曲矫正术中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 73-75.
[12] 李娜. 美容与功能兼顾——浅谈鼻畸形整复与鼻中隔成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 1-2.
[13] 朱丽. 近期鼻骨与鼻中隔复合外伤鼻内镜下成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 7-9.
[14] 张维天, 茆松. 鼻整形术:歪鼻整形[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 10-13.
[15] 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.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!