外伤性歪鼻136例的矫治  

Correction of posttraumatic deviated nose in 136 cases

作　　者：刘邦华[1] 吴蕾[1] 孔维佳[1] 杨成章[1] 汪广平[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《中华创伤杂志》2006年第8期606-608,共3页Chinese Journal of Trauma

摘　　要：目的探讨外伤性歪鼻的矫治方法,提高其临床治疗效果。方法分析136例外伤性歪鼻畸形患者矫治的临床资料,对鼻外伤后20～30 d的34例患者进行闭合性鼻骨复位术,伤后6个月以上的102例患者在局部麻醉下经蝶形切口径路矫正歪鼻,必要时同时矫正鼻中隔偏曲及切除肥大下鼻甲。结果所有患者随访1年以上,行闭合性鼻骨复位术的34例患者中优28例,良6例；经蝶形切口径路矫正歪鼻的102例患者中优81例,良21例。所有鼻畸形均获得满意的矫正,鼻外形恢复良好,鼻腔通气顺畅。结论外伤性歪鼻畸形多因伤后早期未及时、正确地处理所致,根据受伤后时间的长短,1个月以内的外伤性歪鼻可行闭合性鼻骨矫正复位术,其余则经开放式手术复位鼻骨、矫直鼻中隔及鼻部整形术,可取得较满意的效果。Objective To explore a good method of treating posttraumatic deviated nose. Methods Clinical data of 136 patients with posttraumatic deviated nose were analyzed. Closed nasal bone replacement was employed in 34 patients with the disease history of 20-30 days, while open rhinoplasty approach was employed in 102 patients with the disease history over 6 months to correct their posttraumatic deviated nose, and straightening the septum and ectomizing the inferior turhinate were done if necessary. Results The follow-up was over one year. In the 34 patients with the disease history of 20- 30 days, the outcome was excellent in 28 cases and good in 6. In the 102 patients with the disease history over 6 months, the outcome was excellent in 81 cases and good in 21. The deformity of nose was corrected satisfactorily. Normal nasal shape and good ventilation were obtained. Conclusion Posttraumatic deviated nose deformities are often caused by delayed and inaccurate treatment. Closed nasal bone replacement can he employed for the patients with trauma history less than one month, and open rhinoplasty approach and straightening the septum and restoration of the nasal shape are employed for other patients. In this way good results can he obtained.

关 键 词：鼻畸形 创伤后 鼻成形术 鼻中隔矫正术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]