鼻内镜下骨性扩大治疗后天性前鼻孔狭窄方法探讨  

Analyze the role of the intranasal endoscopic anterior nasal bony expansion surgery in Stenosis of anterior naris

作　　者：薛金梅[1] 高照慧 赵长青[1] 李赟[1] 宋梦婷 XUE Jinmei;GAO Zhaohui;ZHAO Changqing;LI Yun;SONG Mengting(Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China;Shanxi Medical University, Taiyuan, Shanxi, 030001, China)

机构地区：[1]山西医科大学第二医院耳鼻咽喉头颈外科

出　　处：《中国耳鼻咽喉头颈外科》2019年第5期259-262,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：山西省科技厅重点研发项目(201803D31117);山西省人社厅留学人员科技活动择优资助项目(201706)联合资助

摘　　要：目的骨性扩大(上颌骨腭突部分骨质凿除术)治疗前鼻孔狭窄的临床初步应用,探讨归纳手术方法及适应证。方法选择我科2015~2018年收治的12例后天性前鼻孔狭窄患者作为研究对象,均采用鼻内镜下上颌骨腭突部分骨质凿除术,术毕患侧前鼻孔填塞油纱条,2天后拔除,前鼻孔压覆棉球1个月,术后定期随访。结果 12例患者均恢复较好,鼻塞较前明显改善,术后均未出现腭前部组织麻木、牙痛等并发症,术后随访3~24个月,平均17个月,均未出现再狭窄。结论鼻内镜下上颌骨腭突部分骨质凿除术可骨性扩大前鼻孔,明显改善鼻腔通气,术后仅局部压覆棉球,患者痛苦小,随访均未发生前鼻孔再狭窄,为后天性前鼻孔狭窄患者提供一种安全有效的创新术式。OBJECTIVE The clinical application of osseous enlargement(the maxillary condyle part of the bone excision) in the treatment of anterior nasal stenosis, and to explore the induction of surgical methods and indications.METHODS Twelve patients with acquired anterior nasal stenosis that were treated in our department from 2015 to2018 were enrolled in this study. All patients underwent endoscopic maxillary condyle partial bone excision, and the anterior naris were filled with vaseline gauze. The gauze was removed from the anterior naris after 2 days. The anterior naris is pressed against the cotton ball for 1 month,and all the patients had a followe-up regularly. RESULTS All the12 patients recovered better, and the nasal congestion was significantly improved. There were no complications such as numbness and toothache in the anterior tibial tissue. The outpatient follow-up period was 3-24 months after surgery,with an average of 17 months. No restenosis occurred.CONCLUSION Endoscopic maxillary condyle partial bone excision can expand the anterior naris and improve nasal airway. Only partial compression of cotton balls is performed after operation. The patient has little pain and no anterior naris restenosis occurs. The surgery is a safe and effective innovative procedure for patients with acquired anterior nasal stenosis.

关 键 词：上颌骨 内窥镜检查 后天性前鼻孔狭窄 骨性扩大 上颌骨腭突 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]