铺垫法鼻内镜下治疗外鼻上段歪鼻畸形

目的：报告2001年3月～2007年8月间,27例外鼻上段歪鼻畸形合并鼻中隔偏曲患者同期手术较为简捷的一种新方法。方法：术前采用自制可塑形线尺测量鼻根、鼻尖、颏正中三点是否在同一直线和偏斜程度,鼻背宽侧塌陷范围和程度,结合石膏补缺打模。依此作为参考数据,在完成鼻中隔矫正同时取下一块适合的鼻中隔软骨雕形后作为矫形材料备用。塌陷侧鼻内镜直视下梨状孔边缘与鼻翼软骨间横切口,皮下贴骨面锐性分离后植入矫形材料达到歪鼻矫正目的。结果：27例被施术者,术后均无感染、血肿形成、矫形材料移位、软化坏死等并发症。5～7 d外鼻肿胀消退,歪鼻矫正。随访6个月以上无异常变化。结论：用自体鼻中隔软骨作为矫形材料,鼻内镜下矫正歪鼻畸形技术,特别是对上段歪鼻,较之传统手术,简捷、安全、有效,易于掌握运用,同时患者也容易接受,具有较高的临床应用价值。

Therapy of Abnormality of Deviated Nose on Upside of Nasus Externs with Nasal Endoscope and Mat Method

Objective： To report a kind of new simple and fast method about surgery of abnormality of Deviated Nose on upside of nasus externs and nasal septum deviation from 27 cases from March 2001 to April 2007.Methods：To apply the ductile shape of self-restraint line ruler to measure nation,apex to get relevant datum before surgery,using gypsum to make model.According to this,to take a piece of suitable nasal sepal cartilage at the same time in accomplishing the correction of nasal deviation.Implanting the nasal sepal cartilage to achieves the surgery with nasal endoscope.Results： All of 27 cases had no infection or other complications.Nasal swelling disappear,the deviated nose are corrected after 5-7 day.The follow-up has no abnormal change above 6 months.Conclusion： Comparing with traditional operation,the technology,making use of nasal sepal cartilage of self to be orthopedic material,is simple,direct,safe,effective and grasp easily to apply,especially for upside of deviated nose.The patients are also easy to accept,it has higher clinical practical value.