鼻内镜下三线减张鼻中隔矫正术

目的探讨鼻内镜下三线减张鼻中隔矫正的手术技巧及其疗效观察。方法回顾性分析156例鼻中隔偏曲患者,全部行鼻内镜下三线减张鼻中隔矫正术,将鼻中隔方形软骨尾端、鼻中隔软骨与筛骨垂直板结合处、鼻中隔软骨下端与犁骨、上颌骨鼻嵴与腭骨鼻嵴结合处分离,并将在此形成的三条受力线及核心受力区切除条形软骨和骨质,解除导致鼻中隔偏曲的应力,从而达到矫正鼻中隔的效果。结果术后随访3～24个月,156例中,治愈134例,好转22例。结论鼻内镜下三线减张鼻中隔矫正术安全可靠,效果满意,最大限度保留了鼻中隔正常组织结构,具有创伤小,并发症少等优点,符合鼻中隔偏曲产生的生物力学规律,将手术上升到微创水平。

Endoscopic surgery for deviation of nasal septum with three lines tension relaxing correction

OBJECTIVE To explore the surgical methods and the clinical therapeutic effects of three lines tension relaxing correction for deviation of nasal septum.METHODS The clinical data of 156 patients who underwent endoscopic surgery for deviation of nasal septum with three line tension relaxing correction during Jan,2009 to Aug,2011（age from 14 to 64 years old） were retrospectively studied.First cut a Killian incision at the junction of the skin and mucous membrances on the left side of the nasal septum under endoscopy,then separated the nasal septum cartilage from the angle formed by two greater alar cartilages,perpendicular plate of the ethmoid bone,and the junction of vomer and maxilla at the nasal crest,this procedure was applied to correct diviation of nasal septum by releasing tension,which was named three lines tension relaxing correction.RESULTS Follow up was carried out for 3 to 24 months after endoscopic septoplasty surgery.There were 134 cases cured and 22 cases improved.CONCLUSIONWith advantages of less invasion and fewer complications,the endoscopic surgery for deviation of nasal septum with three lines tension relaxing correction is an easy and efficient method,and is worthy of popularizing.