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鼻外进路行鼻中隔矫正术并用自体中隔骨(筛骨,犁骨)整复鞍鼻24例,所有病例都有鼻中隔偏曲和鼻外伤史,其中鼻软骨部松软4例,鼻尖低下3例。24例手术后效果均满意。18例随访6个月至7年零8个月,外鼻无变形,坚韧度正常,中隔居中无穿孔。该文主要介绍鼻外进路手术方法和手术的优点,分析了软骨部松软和鼻尖低下的原因以及处理方法,提出用筛犁骨片行卓骨骨膜下移植术整复鞍鼻是简便可行的。
Nasal approach nasal septum corrective surgery and autologous septum (ethmoid, vomer) to repair the saddle nose in 24 cases, all cases have nasal septum deviation and history of nasal trauma, nasal cartilaginous softening in 4 cases, nose low 3 example. 24 patients were satisfied with the results after surgery. 18 cases were followed up for 6 months to 7 years and 8 months, no deformation of the outer nose, tenacity normal, no septal home perforation. This article mainly introduces the advantages and disadvantages of the surgical approach and operation of the nasal approach, analyzes the causes and treatments of the soft cartilage and the low nasal tip, and proposes that it is simple and feasible to use the sliver villus tablet to repair the saddle nose with the subperiosteal transplantation. .