同期鼻中隔与鼻整形术的外鼻畸形患者的效果观察

目的:探讨和研究同期鼻中隔和鼻整形术治疗外鼻畸形患者的疗效。方法:以我院2012年1月~2013年1月之间所收治的32例伴有鼻中隔偏曲的外鼻畸形者为对象进行研究,行同期鼻中隔和鼻整形术进行治疗,在鼻侧软骨与大翼软骨间取手术切口,单面一边骨膜蒂骨瓣截骨法处理骨椎畸形,同时采用"转门法"进行鼻中隔矫正。结果:本组32例患者均顺利完成手术,效果满意,随访5~12个月,无1例出现复发或相关并发症。结论:同期进行鼻中隔和鼻整形术能够有效避免在术中造成的鼻骨及中隔软骨的移位,减少了对鼻粘膜的损害,确保了鼻骨的血供良好,在改善患者鼻腔通气功能的同时也取得了美容的效果,值得在临床上加以推广和应用。

Exploration of the Effect and Research Period Patients with Nasal Septum and Nasal Surgery Treatment of Nasal Deformity

Objective：To explore the effect and research period patients with nasal septum and nasal surgery treatment of nasal deformity. Methods：32 patients in our hospital from 2012.1 to 2013.1 were analyzed with nasal septum deviation of nasal deformity as the object of study, underwent nasal septum and nasal plastic surgery treatment, the operation incision cartilage and alar cartilage in the nasal, single side periosteal bone flap pedicled bone osteotomy of vertebral deformity, at the same time correction of nasal septum using the ＂revolving door＂. Results：of the 32 patients were successfully completed the operation, effect satisfaction, the follow- up of 5 -12 months, no case of recurrence or complications. Conclusion：Simultaneous nasal septum and nasal surgery can effectively avoid the nasal septal cartilage resuiting in displacement and during operation, reduce the nasal mucosa damage, to ensure that the nasal good blood supply,also made the effect of beauty in improving nasal ventilation function of patients, is worthy of popularizing and applying in clinical.