改良切口的鼻中隔成形术疗效观察

Modified Killian incision for nasal septoplasty

ObjectiveTo explore the feasibility and effectiveness of modified Killian incision for nasal septoplasty.MethodsFrom Feb 2009 to June 2013, nasal septoplasty with modified incision was conducted to 382 cases with nasal septum deviation. Of them, 295 cases suffered from simple septum deviation, and 87 suffered from septum deviation with chronic sinusitis/nasal polyps. Different from Killian incision, the modified incision was located in front of the nasal septum cartilage. All 382 patients received nasal septoplasty via modified Killian incision. Meanwhile, the patients with hypertrophy of inferior turbinate were treated with inferior turbinotomy (fracture displacement or submucous resection of inferior turbinate) and those with chronic sinusitis/nasal polyps received functional endoscopy sinus surgery.ResultsThe operation time ranged from 8 to 35mins with a median time of 20 min. The amount of blood loss ranged from 10 to 80 ml with a median volume of 30 ml. All patients had been followed up for 6 to 12 months postoperatively. Deviation of nasal septum was corrected completely, nasal ventilation got improved in all the patients. No complications such as septum perforation, septum hematoma, saddle nose, or nasal adhesion occurred.ConclusionModified Killian incision can provide a clear operative field and correct the septum deformity completely in septoplasty. With advantages of reserving cartilage frame of nasal septum, less injury and bleeding, short operative time and less complication, this incision is minimally invasive for septoplasty.