歪鼻并鼻中隔偏曲联合整形268例

目的:探讨歪鼻并鼻中隔偏曲同期整形手术的可行性,改进手术方法.方法:设计横鼻小柱基底部至两侧鼻翼缘中部的蝶形切口,掀起鼻下端皮瓣,显示鼻中隔、隔背软骨和鼻骨.手术中拱顶石区的分离、固定是歪鼻整形的关键;鼻中隔软骨与筛骨垂直板和上颌骨鼻嵴分离、整形是鼻中隔整形的关键;两侧鼻腔放入等量凡士林纱条或膨胀海绵,起到鼻腔内固定和防止鼻中隔血肿作用;24 h后分上、下午取出堵塞物,能减轻鼻腔填塞痛苦;鼻外固定作用不大,可省略不做.结果:本组268例,经6～24个月随访,满意228例,基本满意40例.结论:歪鼻并鼻中隔偏曲联合整形术,解决了歪鼻的美容问题和鼻中隔偏曲矫正后鼻功能重建的问题.     

内镜辅助鼻内进路治疗外伤性骨性鼻锥畸形的临床疗效研究

目的　探索内镜辅助鼻内进路治疗外伤性骨性鼻锥畸形的临床疗效研究。方法　回顾分析2016～2019年中山大学孙逸仙纪念医院耳鼻咽喉头颈外科收治的外伤性骨性鼻锥畸形患者23例,其中初期7例,骨痂期9例,塑形期7例。经内镜辅助下鼻内进路手术矫正治疗,术后随访3个月。计算术后满意度,对于合并鼻腔通气障碍的患者,采用t检验统计VAS评分。结果　本组23例中,行鼻内镜下鼻内进路骨性鼻锥闭合复位术6例,切开复位术13例,截骨复位术4例。术后22例外形满意（满意度95.6%）,10例通气障碍患者,术后VAS评分有明显改善（P <0.05）。结论　内镜辅助鼻内进路骨性鼻锥畸形矫正术临床效果满意,可成为有效治疗手段。     

内镜辅助下功能性鼻整形术治疗歪鼻合并鼻中隔偏曲226例临床分析北大核心CSCD

Objective To explore the method and effect of endoscopic assisted functional rhinoplasty for patients with deviated nose and deviated nasal septum, which achieve correction of nasal morphology and ventilation dysfunction. Methods The clinical data of 226 patients with deviated nose and deviated nasal septum from June 2009 to February 2022 who were treated by endoscopic assisted functional rhinoplasty in the Affiliated Hospital of Qingdao University were analyzed retrospectively. There were 174 males and 52 females, with the age ranging from 7 to 67 years old. The effect was evaluated by subjective and objective evaluation methods. SPSS 27.0 software was used for statistical analysis. Results All patients were followed up for 6 to 24 months, 174 cases were cured (174/226, 76.99%), 52 cases were effective (52/226, 23.01%), and the total effective rate was 100% (226/226). The difference between preoperative and postoperative facial appearance deviation was statistically significant ((6.84±2.25)mm vs (1.82± 1.05)mm, t=38.94, P<0.001), and the nasal ventilation function of all patients was improved. Conclusions Endoscopic assisted functional rhinoplasty for the patients with deviated nose combined with deviated nasal septum has the advantages of clear surgical field, fewer complications, and good result. It can achieve the purpose of simultaneous correction of nasal and ventilation dysfunction, which is recommended for popularizing in clinical application. © 2023 The Author(s).     

中隔-鼻骨复位术治疗外伤性歪鼻

目的 探讨中隔-鼻骨复位术对外伤性歪鼻的疗效。方法 选择49例非粉碎性鼻骨骨折患者，施行中隔-鼻骨复位术。结果 术后，患者与术者双方对外鼻形态满意27例，患者满意4例，术者满意7例，双方不满意8例，失访3例，总满意率达77.6%。结论 选合病例用中隔-鼻骨复位术治疗外伤歪鼻，方法简单实用，疗效佳。     

鼻小柱入路歪鼻矫正术

鼻小柱入路歪鼻矫正术谷京城１孙连玉１刑巍巍１陈秀芝１歪鼻的形成主要是先天性鼻的骨性支架生长过度和外伤所致的鼻的支架偏位，其中鼻中隔骨板起着真正十分重要的作用。矫正歪鼻关键的一步就是矫正鼻中隔的偏曲、增厚和鼻中隔软骨与筛骨、犁骨及硬腭嵴突接合部的异常。...     

中隔-鼻骨复位术治疗外伤性歪鼻

目的探讨中隔-鼻骨复位术对外伤性歪鼻的疗效.方法选择49例非粉碎性鼻骨骨折患者,施行中隔-鼻骨复位术.结果术后,患者与术者双方对外鼻形态满意27例,患者满意4例,术者满意7例,双方不满意8例,失访3例,总满意率达77.6%.结论选择合适病例用中隔-鼻骨复位术治疗外伤性歪鼻,方法简单实用,疗效佳.     

一次手术治疗三种鼻部疾患

日前，解放军总医院第一附属医院耳鼻喉科副主任王丰采用她所创建的鼻整形修复技术，一次手术治疗因外伤导致的3种鼻部问题取得成功。1位41岁男性患者意外摔伤敛鼻骨粉碎性骨折，造成歪鼻畸形、重度鼻中隔偏曲、鼻中隔穿孔，鼻腔通气困难。治疗后患者不仅恢复了呼吸通气功能，同时塌鼻歪鼻的外观得到矫正。     

编辑导读

本期重点号内容是鼻面部修复重建。述评《我国鼻骨骨折诊治的现状与建议》对我国鼻骨骨折诊断分型,分期及治疗等相关资料进行归纳.并结合多年来的经验加以总结,以期加强临床医生对鼻骨骨折的认识。歪鼻畸形患者常合并有鼻中隔偏曲及鼻腔功能障碍,如何正确处理鼻中隔与外鼻的联合畸形是近年来备受关注的问题。专家论坛《歪鼻畸形的手术治疗进展及鼻内镜的相关应用》对歪鼻形成的原因、歪鼻手术的基本原则和常用策略、鼻内镜在歪鼻矫正术中的应用等方面进行论述,以期为正确开展该领域手术提供参考。