鼻中隔偏曲歪鼻畸形的矫正  

Aesthetic correction of septal deviation with nasal deformify

作　　者：曾高[1] 马海欢[1] 薛志强[1] 胡晓根[1] 

机构地区：[1]卫生部中日友好医院整形外科,北京100029

出　　处：《中华医学美学美容杂志》2011年第4期257-259,265,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨鼻中隔偏曲歪鼻畸形的矫正方法，以求在改善通气功能的基础上，最大程度的实现鼻外形的美学重建。方法综合运用鼻中隔软骨部分切除、鼻中隔偏曲矫正支撑重建、鼻骨截骨、鼻尖整形或隆鼻假体置人等多种修复手段，通过I期手术矫正鼻中隔畸形的同时，并对鼻外形进行美学重建。结果对48例患者进了1年以上的随访，非常满意者30例，满意者14例，不满意者3例，非常不满意者1例。外形满意率91．7％（44／48）。术前鼻通气障碍，术后均得到不同程度缓解。结论在全面掌握鼻解剖的基础上综合运用多种手术方法，鼻中隔偏曲歪鼻畸形的矫正能获得较好的美学效果，同时改善了患者的鼻通气功能。Objectives To explore a comprehensive approach for the functional and aesthetic correction of septal deviation. Methods From Jan. 2007 to Dec. 2009, 48 patients with deviation of the frontier and ceiling border of the septal cartilage, 6 males, 42 females, average age of 26.5 years, were surgically treated with a comprehensive use of several techniques, such as septoplasty, recon- struction of septal support, precise osteotomies and nasal tip plasty. Results Functional improvement achieved in all the patients, contour satisfaction achieved in 91.7% patients; 30 patients were very satisfied, and 14 satisfied with the outcome. Conclusions With the thorough understanding of surgi cal anatomy of the nose and the use of comprehensive surgical approach, satisfactory outcomes can be achieved both functionally and aesthetically in patients with septal deviation.

关 键 词：鼻中隔偏曲 歪鼻矫正术 鼻截骨术 鼻通气障碍 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]