带蒂鼻腔底黏骨膜瓣修补鼻中隔穿孔11例

目的:探讨采用以鼻腔底后端为基蒂的黏骨膜瓣旋转修补鼻中隔穿孔的疗效。方法:用类似鼻中隔黏膜下矫正术的方法分离鼻中隔穿孔周边的黏软骨膜及骨膜,并向下连接左鼻腔底后端为基蒂的黏骨膜瓣,将黏骨膜瓣向后上旋转,覆盖并缝合于穿孔周边的黏软骨膜及骨膜袋内。结果:11例鼻中隔穿孔修补患者均一期愈合,修补成功。结论:采用自体带蒂鼻腔底黏骨膜瓣修补鼻中隔穿孔,取材方便;无排斥反应;带蒂黏骨膜瓣血供良好,成活率高;鼻腔底部黏骨膜面积宽而长,修补较大穿孔时,可根据穿孔的大小和形状,提供足够的移植材料。

Rotated pedicle flap of the floor of nasal cavity to repair nasal septal perforation

Objective:To report a new procedure with rotated pedicle flap of the floor of nasal cavity to repair nasal septal perforation.Method:Dissecting mucoperichondrium and mucoperiosteum around the perforation and taking downward to the floor of nasal cavity to make a posterior end pedicle flap.Then rotating the flap backward and upward to overlap the more large perforation and suturing it with the margin of the pocket of mucoperichondrium and mucoperiosteum of the perforation.Result:Repair of the perforation in 11 cases were all successful with primary healing.Conclusion:Autogenous rotated pedicle flap of the floor of nasal cavity for repairing nasal septal perforation has a lot of advantage.The graft is easy to take,no rejection,having good blood supply,highly survival rate and wide and long enough to be available to the implant for repairing the larger perforation according to its size and shape.