| 鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲 |
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| 引用本文： | 马敬,何军玲,周柳青.鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲[J].山东医大基础医学院学报,2009(1). |
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| 作者姓名： | 马敬 何军玲 周柳青 |
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| 作者单位： | 中国人民解放军兰州军区总医院耳鼻咽喉-头颈外科; |
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| 摘 要： | 目的探讨鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲的可行性及疗效。方法全身麻醉下行黏膜下鼻中隔骨、软骨上至鼻顶,下至鼻底的大块切除,体外修平鼻中隔软骨部侧突的嵴突,依据软骨部、骨部偏曲弧度的大小,将软骨纵行切割成宽0.3~0.5 cm条状,骨部则采取骨折取平或修剪成平直块状,用5°带针可吸收线将相邻软骨条中上及中下1/4处,骨、软骨间及骨、骨间间断缝合固定,缝合间距0.1 cm,将骨、软骨栅回置,缝合切口。结果患者均无并发症,随访2~3.5年,患者鼻腔通气良好,无鼻小柱回缩、鼻底增宽等外鼻形状改变,鼻中隔居中无穿孔,用力呼吸鼻中隔无飘动。结论鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲切实可行。
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| 关 键 词： | 鼻中隔偏曲 鼻中隔矫正术 青少年 |
Grill-form suture in bone of the nasal septum and cartilage in the treatment of deflection of the nasal septum in teenagers |
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| MA Jing,HE Jun-ling,ZHOU Liu-qing.Grill-form suture in bone of the nasal septum and cartilage in the treatment of deflection of the nasal septum in teenagers[J].Journal of Preclinical Medicine College of Shandong Medical University,2009(1). |
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| Authors: | MA Jing HE Jun-ling ZHOU Liu-qing |
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| Institution: | Department of Otorhinolaryngology;Lanzhou General Hospital;Chinese PLA;Lanzhou 730050;China |
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| Abstract: | Objective To explore the feasibility and curative effect of grill-form suture of bone of the nasal septum and cartilage in the treatment of deflection of the nasal septum in teenagers.Methods The bulk which initiated from bone of the nasal septum and cartilage from infra-mucosa to the nasal roof and basis nasi,was removed under general anesthesia.The cristae in the lateral protrusion of the pars cartilaginea septi nasi was repaired to evenness,the cartilage was dissected to a stick-form of 0.3-0.5 cm width.... |
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| Keywords: | Deflection of nasal septum Nasal septum correction Teenagers |
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