鼻内镜下鼻中隔软骨或筛骨修补鼻中隔穿孔

山东大学耳鼻喉眼学报

鼻内镜下鼻中隔软骨或筛骨修补鼻中隔穿孔

张吉仲¹，李大建²

1. 荣成市人民医院耳鼻咽喉-头颈外科，山东荣成 264300；2. 青岛大学医学院附属威海医院耳鼻咽喉-头颈外科，山东威海 264200

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-08-16 发布日期:2008-08-16
通讯作者: 张吉仲

Chondroseptum or ethmoid in repairing of nasal septum perforation under endoscopy

ZHANG Ji-zhong¹, LI Da-jian²

1. Department of Otolaryngology & Head and Neck Surgery, Rongcheng People′s Hospital, Rongcheng 264300, Shandong, China; 2. Department of Otolaryngology & Head and Neck Surgery, Weihai Hospital, Medical College of Qingdao University, Weihai 264200, Shandong, China

Received:1900-01-01 Revised:1900-01-01 Online:2008-08-16 Published:2008-08-16
Contact: ZHANG Ji-zhong

摘要/Abstract

摘要：

目的〓〖HTK〗探讨鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔的临床效果。〖HTW〗方法〓〖HTK〗22例鼻中隔穿孔中鼻中隔矫正术所致12例，外伤性穿孔2例，化学物质腐蚀性穿孔2例，激光、微波烧灼性穿孔3例，原因不明3例。鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔，形成骨性支架，术后用湿润烧烫伤膏MEBO涂抹创面，促进周边黏膜向穿孔处生长。〖HTW〗结果〓〖HTK〗患者均一次修复成功，穿孔处双侧骨质暴露区域被黏膜完全覆盖25～62d，随访2～3年无再次穿孔，均无手术并发症。〖HTW〗结论〓〖HTK〗鼻内镜下应用鼻中隔软骨或筛骨修补鼻中隔穿孔安全、简便、有效。

关键词: 内窥镜检查, 鼻中隔, 修复外科手术

Abstract:

Objective〓〖WTBZ〗To evaluate the clinical effects of nasal endoscopic neoplasty in treatment of nasal septum perforation with chondroseptum or ethmoid. 〖WTHZ〗Methods〓〖WTBZ〗22 cases of nasal septum perforation, of which, 12 cases were induced by nasal septum surgery, 2 cases by trauma, 2 cases by chemical rusty, and 3 cases non-causal, were treated by nasal endoscopic neoplasty with chondroseptum or ethmoid. After the operations, MEBO was used to promote nearby tissues grow towards the perforations. 〖WTHZ〗Results〓〖WTBZ〗All cases were successfully repaired with the squamous epithelization from 25 to 62 days. Followed up from 2 to 3 years, no surgical complications happened. 〖WTHZ〗Conclusion〓〖WTBZ〗Nasal endoscopic neoplasty for nasal septum perforation with chondroseptum or ethmoid is safe, handy and effective.

Key words: Nasal septum, Reconstructive surgical procedures

Endoscopy

中图分类号:

R765.34

张吉仲,李大建 . 鼻内镜下鼻中隔软骨或筛骨修补鼻中隔穿孔[J]. 山东大学耳鼻喉眼学报, 2008, 22(4): 336-337 .

ZHANG Ji-zhong,LI Da-jian . Chondroseptum or ethmoid in repairing of nasal septum perforation under endoscopy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 336-337 .

参考文献

相关文章 15

[1]	李帅,黄春燕,常明章. 鼻内镜下鼻中隔软骨尾端偏曲矫正术的临床效果分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 65-70.
[2]	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.
[3]	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.
[4]	王娟,宋英鸾,耿江桥,温鑫,史雅楠. 婴幼儿急性上颌骨骨髓炎合并鼻中隔脓肿1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 91-96.
[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]	卢飞燕,卢永田,周俊伟,刘渊. 内镜下经外耳道耳蜗下径路切除岩尖病变的应用解剖学研究[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 62-68.
[10]	冯剑,周涵,董伟达. 喉癌内镜诊断技术研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 129-133.
[11]	万文锦,闫玉洁,黎娜,郭人毓,袁慧. 综合护理干预对鼻内镜鼻窦手术后口干症的改善效果观察[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 134-137.
[12]	高俊潇,邱前辉. 黏膜瓣在鼻咽癌放疗后鼻内镜手术修复颅底组织缺损中的应用[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 46-50.
[13]	李玲玲,姜彦,陈敏,赵丽娟,张胜男. 鼻中隔神经纤维瘤一例报告[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 112-113.
[14]	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.
[15]	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.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed