10000例鼻功能性精准修复的临床体会  

Clinical experience of precise functional rhinoplasty: report of 10 000 cases

作　　者：龚龙岗[1] 刘文军[1] 谭聪明[1] 李巧玉 GONG Long-gang;LIU Wen-jun;TAN Cong-ming;LI Qiao-yu(Department of Otolaryngology-Head and Neck Surgery, Red Cross Hospital Affiliated to Xi' an Jiaotong University, Xi' an710054, China)

机构地区：[1]西安交通大学附属红会医院耳鼻咽喉头颈外科

出　　处：《中国耳鼻咽喉颅底外科杂志》2019年第2期135-138,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨鼻骨骨折、鼻畸形的治疗技巧及效果。方法回顾性分析2008年1月~2018年7月收治的10 000例鼻骨骨折和鼻畸形患者在超声、鼻内镜引导下行闭合复位术、切开复位术及鼻腔填塞,总结其临床疗效。结果所有患者术后随访3个月以上,术后鼻部凹陷畸形消失,CT检查示骨折复位好,患者对鼻部畸形的纠正效果满意。未见其他严重并发症。结论鼻骨骨折、鼻畸形患者临床治疗应根据畸形部位、移位程度、鼻腔局部情况、全身情况、心理等因素综合考虑决定,才能达到满意的效果。Objective To study the treatment technique and therapeutic effect of nasal bone fracture and nasal deformity.Methods Clinical data of 10 000 patients suffering from nasal bone fracture and nasal deformity treated endoscopically(including closed reduction, open reduction and nasal packing) with guidance of ultrasound in our department from Jan. 2008 to July 2018 were analyzed retrospectively to summarize the therapeutic effect.Results All patients had been followed up for more than 3 months postoperatively. The follow-up results revealed disappearance of nasal depression deformity with good fracture reduction confirmed by postoperative computerized tomography(CT) and patients’ satisfactions with the corrective effect of nasal deformity. No serious complications occurred.Conclusions In the treatment of nasal bone fracture and nasal deformity, the location of deformity, degree of displacement, local nasal conditions, general conditions, psychological factors and so on should be taken into comprehensive consideration. Only in this way can satisfactory effect be achieved.

关 键 词：鼻骨骨折 鼻畸形 修复重建 精准 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R622[医药卫生—临床医学]