应用鼻中隔软骨体外成形术矫正严重歪鼻畸形的临床研究
发布时间:2018-05-04 10:34
本文选题:鼻中隔软骨 + 体外成形 ; 参考:《北京协和医学院》2011年硕士论文
【摘要】:目的:研究应用鼻中隔软骨体外成形术矫正严重歪鼻畸形的效果;测量术中取出的鼻中隔软骨的大小。 方法:对26例歪鼻合并鼻中隔偏曲患者行歪鼻矫正,截骨整形术,同时行鼻中隔软骨体外成形术。术中常规行鼻骨外侧截骨,取出鼻中隔软骨,将鼻中隔软骨进行切除、切割等处理后植入原位并缝合固定,矫正歪鼻畸形和鼻中隔偏曲畸形。术中以游标卡尺测量鼻中隔软骨的长、宽和厚度,置于标尺前拍照,以Digimizer ver.3.1.2.0软件测量照片,计算鼻中隔软骨的面积。 结果:26例患者中23例治愈,无鼻背塌陷和鼻中隔穿孔发生。术中取出的鼻中隔软骨前后径(平均值±标准差)27.69±3.22mm,上下径26.76±4.63mm,最厚2.78±0.61mm,最薄0.80±0.61mm,面积548.94±123.07mm2。 结论:鼻中隔软骨体外成形术用于矫止严重歪鼻畸形可以取得满意效果,减少并发症的发生。鼻中隔软骨变异较大,术中取出的软骨面积为548.94±123.07mm2。
[Abstract]:Objective: to study the effect of extracorporeal nasoplasty for correction of severe deformity of nasal septum and measure the size of nasal septal cartilage taken out during operation. Methods: 26 patients with deviation of nasal septum were treated with anasystrophy, osteotomy and extracorporeal surgery of nasal septum cartilage. The lateral nasal osteotomy was performed during the operation, the nasal septal cartilage was removed, the nasal septal cartilage was resected, cut, and fixed by suture and in situ, the deviation of the nasal septum and the deviation of the nasal septum were corrected. The length, width and thickness of nasal septal cartilage were measured with Vernier caliper during operation. The area of nasal septal cartilage was calculated by Digimizer ver.3.1.2.0 software. Results among 26 cases, 23 cases were cured without nasal dorsum collapse and nasal septum perforation. The anterior and posterior diameter of nasal septum cartilage was removed (mean 卤standard deviation 27.69 卤3.22mm, inferior diameter 26.76 卤4.63mm, maximum thickness 2.78 卤0.61mm, thinnest 0.80 卤0.61mm, area 548.94 卤123.07mm). Conclusion: extracorporeal repair of nasal septal cartilage can achieve satisfactory results and reduce complications. The variation of nasal septal cartilage was greater, the area of cartilage removed during operation was 548.94 卤123.07mm ~ 2.
【学位授予单位】:北京协和医学院
【学位级别】:硕士
【学位授予年份】:2011
【分类号】:R765
【参考文献】
相关期刊论文 前10条
1 莫伟;;自体鼻中隔软骨隆鼻术65例报告[J];广西医学;1993年01期
2 徐胜,朱发亮;鼻中隔偏曲的有关解剖学因素探讨[J];解剖学杂志;1988年02期
3 薛雁山;鼻中隔偏曲轴位CT形态学的前瞻性研究[J];解剖学杂志;1999年04期
4 冯立人;王孟冬;孙宝宾;;鼻中隔鼻成形术与鼻中隔黏膜下切除术的比较[J];临床耳鼻咽喉头颈外科杂志;2007年22期
5 王盛;范飞;尤建军;卢九星;陈长永;;半开放式驼峰鼻整形术[J];中国美容医学;2008年12期
6 颜军,李新梅,杨桂花;鼻中隔偏曲发生率的人群调查[J];新疆医科大学学报;2000年02期
7 陶泽璋,张剑宁,杨强,肖伯奎,孔勇刚;鼻中隔偏曲两侧窦口鼻道复合体解剖变异的差异[J];中华耳鼻咽喉科杂志;2001年02期
8 王s罨,
本文编号:1842703
本文链接:https://www.wllwen.com/yixuelunwen/yank/1842703.html
最近更新
教材专著