改良鼻外侧截骨术治疗歪鼻畸形的临床疗效

目的 分析对歪鼻畸形患者采用改良鼻外侧截骨术治疗的效果。方法 选取2022年11月-2023年12月 南京市玄武艺星医疗美容门诊部收治的90例歪鼻畸形患者，按治疗方法不同将患者分成参比组（45例）和 研究组（45例）。参比组行不对称驼峰锉削术治疗，研究组行改良鼻外侧截骨术治疗，比较两组鼻外形偏 斜值、鼻塞情况、鼻整形美观度以及不良反应发生情况。结果 两组治疗后鼻外形偏斜值低于治疗前，且 研究组低于参比组（P＜0.05）；两组治疗后VAS评分低于治疗前，且研究组低于参比组（P ＜0.05）；两组 治疗后ROE评分高于治疗前，且研究组高于参比组（P ＜0.05）；两组不良反应发生率比较，差异无统计 学意义（P＞0.05）。结论 针对歪鼻畸形患者，改良鼻外侧截骨术可改善其鼻外形偏斜、鼻塞情况，且鼻 整形美观度较高，具有较高安全性。

Effect of Modified Lateral Nasal Osteotomy in the Treatment of Deviated Nasal Deformity

Objective To analyze the effect of modified lateral nasal osteotomy in patients with deviated nasal deformity. Methods From November 2022 to December 2023, 90 patients with deviated nasal deformity admitted to Nanjing Xuanwu Yestar Medical Beauty Clinic were selected and divided into reference group (45 patients) and study group (45 patients) according to different treatment methods. The reference group was treated with asymmetric hump resection, and the study group was treated with modified lateral nasal osteotomy. The nasal shape deviation, nasal congestion, nasal shaping aesthetics and adverse reactions were compared between the two groups. Results The nasal shape deviation of the two groups after treatment was lower than that before treatment, and that of the study group was lower than that of the reference group (P <0.05). The VAS score of the two groups after treatment was lower than that before treatment, and that in the study group was lower than that in the reference group (P <0.05). The ROE score of the two groups after treatment was higher than that before treatment, and that in the study group was higher than that in the reference group (P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P >0.05). Conclusion For patients with deviated nasal deformity, modified lateral nasal osteotomy can improve the nasal shape deviation and nasal congestion, and the aesthetic degree of nasal plastic surgery is high, with higher safety.