自体肋软骨与硅胶假体整形术、鼻中隔偏曲并歪鼻同期矫正术在外伤性歪鼻中的应用  

Application of Autologous Costal Cartilage and Silicone Prosthesis Plastic Surgery, Nasal Septum Deviation and Nasal Deviation Correction at the Same Time in Traumatic Nasal Deviation

作　　者：常加锋 李斌峰[1] 臧运彩 Chang Jia-feng;Li Bin-feng;Zang Yun-cai(Department of Ophthalmology,Otolaryngology,the 83rd Army Hospital of the PLA,Xinxiang 453000,Henan Province,China)

机构地区：[1]中国人民解放军陆军第八十三集团军医院眼耳鼻喉科,河南新乡453000

出　　处：《罕少疾病杂志》2023年第9期33-35,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 分析自体肋软骨与硅胶假体整形术、鼻中隔偏曲并歪鼻同期矫正术应用于外伤性歪鼻治疗中的效果对比。方法 随机选取72例2020年1月至2021年12月间在本院接受治疗的外伤性歪鼻患者,将患者均分为两组,以自体肋软骨与硅胶假体整形术向观察组患者实施治疗,以鼻中隔偏曲并歪鼻同期矫正术向对照组患者实施治疗。就两组患者的鼻形态改善情况、鼻通气功能、治疗满意度、有效率以及并发症发生情况展开对比。结果观察组患者在鼻梁偏斜角度差值、鼻尖突出度差值、鼻额角差值、鼻腔最小横截面积差值与鼻腔容积差值上均高于对照组,鼻腔呼气吸气阻力差值较对照组更低(P<0.05)。在对治疗满意度、有效率与并发症发生率上,两组患者间均无明显差异(P>0.05)。结论 在外伤性歪鼻患者的整形治疗中,自体肋软骨与硅胶假体整形术改善鼻部形态、通气功能方面效果更为显著,而两者在治疗满意度、有效率与安全问题上,两种治疗方案的应用效果相近,均能为患者带来良好的治疗效果表现。Objective To compare the effect of autologous costal cartilage and silicone prosthesis plastic surgery,nasal septum deviation and nasal deviation correction in the treatment of traumatic nasal deviation.Methods 72 patients with traumatic deviated nose who were treated in our hospital from January 2020 to December 2021 were randomly selected and divided into two groups.The patients in the observation group were treated with autologous costal cartilage and silicone prosthesis plastic surgery,and the patients in the control group were treated with deviated nasal septum and deviated nose simultaneous correction.The improvement of nasal morphology,nasal ventilation function,treatment satisfaction,efficiency and complications of the two groups were compared.Results The patients in the observation group were higher than those in the control group in terms of the difference of nasal bridge deflection angle,nasal tip protrusion,nasal frontal angle,nasal minimum cross-sectional area and nasal volume,and the difference of nasal expiratory and inspiratory resistance was lower than that in the control group(P<0.05).There was no significant difference between the two groups in terms of treatment satisfaction,effective rate and complication rate(P>0.05).Conclusion In the plastic treatment of patients with traumatic deviated nose,autologous costal cartilage and silicone prosthesis plastic surgery are more effective in improving the nasal morphology and ventilation function,and both of them have similar application effects in terms of treatment satisfaction,efficiency and safety,both of which can bring good treatment results for patients.

关 键 词：硅胶假体整形术 鼻中隔偏曲 歪鼻同期矫正术 外伤性歪鼻 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]