鼻内镜下功能性鼻整形术

发布时间：2019-05-11 15:51

【摘要】：目的:就鼻内镜下同期进行外鼻整形(鼻背及鼻外侧壁的整复)加鼻功能手术(鼻中隔矫正加下鼻甲、中鼻甲手术,甚至扩展至鼻腔扩容术、鼻窦炎手术等)的手术方法进行探讨。方法:选取2010-2015年在同仁医院同期进行鼻内镜下功能性鼻整形术的20例患者为研究对象。其中17例行鼻内镜下鼻中隔矫正术加歪鼻畸形矫正术(1例同期行腺样体等离子切除术,7例行下鼻甲或中鼻甲手术);1例行鼻内镜下泪囊鼻腔吻合术加鼻中隔矫正术加歪鼻畸形矫正术;2例行鼻内镜下鼻窦开放术加鼻中隔矫正术加歪鼻矫正术。20例行鼻内镜下外鼻整形术中只有5例使用硅胶假体,其余15例均使用自体软骨。结果:20例手术患者,与单独行鼻整形、鼻内镜下鼻中隔矫正加下鼻甲、中鼻甲手术,甚至扩展至鼻腔扩容术、鼻窦炎手术的患者相比,手术效果更好,无其他并发症发生,反而减少了手术治疗的次数及住院费用。结论:鼻内镜下功能性鼻整形术(联合鼻内镜下鼻功能手术加外鼻整形术)不仅同期解决了鼻部形态和鼻部的通气功能,避免了鼻整形过程中对通气功能的影响,实现了美容和功能的统一,同时减少了手术治疗的次数和费用,和常规手术相比无其他并发症发生,可行性高。
[Abstract]:Objective: to perform external rhinoplasty (reconstruction of the back and lateral wall of the nose) and nasal function surgery (nasal septum correction plus inferior turbinate, middle turbinate surgery, and even extended to nasal dilatation) at the same time under nasal endoscope. The surgical methods of sinusitis, etc., were discussed. Methods: from 2010 to 2015, 20 patients undergoing endoscopic functional nasal plastic surgery in Tongren Hospital were selected as the subjects. Endoscopic nasal septum correction and crooked nasal deformity were performed in 17 cases (1 case underwent adenoid plasma resection and 7 cases underwent inferior turbinate or middle turbinate surgery). One case was treated with endoscopic dacryocystorhinostomy plus nasal septum correction and askew nose deformity correction, and 1 case was treated with endoscopic dacryocystorhinostomy plus nasal septum correction and askew nose deformity correction. Endoscopic sinus surgery plus nasal septum correction and crooked nasal correction were performed in 2 cases. Only 5 cases were treated with silicone prosthesis and the other 15 cases were treated with autologous cartilage in 20 cases of endoscopic external nasal plastic surgery. Results: compared with the patients who underwent nasal plastic surgery alone, endoscopic nasal septum correction plus inferior turbinate, middle turbinate surgery, and even extended to nasal dilatation and sinusitis, the surgical effect was better and no other complications occurred. On the contrary, the number of surgical treatment and hospitalization costs are reduced. Conclusion: endoscopic functional nasal plastic surgery (combined with endoscopic nasal function surgery and external nasal plastic surgery) not only solves the nasal morphology and nasal ventilation function at the same time, but also avoids the influence on ventilation function in the process of nasal plastic surgery. It realizes the unity of beauty and function, and reduces the frequency and cost of surgical treatment. compared with conventional surgery, there are no other complications, and the feasibility is high.
【作者单位】：北京丰台医院耳鼻咽喉科;首都医科大学附属北京同仁医院耳鼻咽喉头颈外科;
【分类号】：R765.9

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