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鼻外进路鼻中隔鼻成形术直接暴露鼻的软骨和骨性结构,手术在直视下进行。儿童的鼻成形术主要是处理鼻中隔问题,本文旨在介绍作者在这方面的经验。1972～1984年间作者行鼻外进路鼻中隔成形术15例,男10,女5,年龄10～17岁,8例在15～17岁之间,有4例小于10岁。8例以往作过鼻中隔成形术。所有病例都有鼻塞,3例术前作了鼻腔气流阻力测定,1例术后重复测定,鼻腔气流阻力显著减低。手术:仰卧位,全麻气管内插管,以浸有5%可卡因液的棉片置鼻内15～20分钟,以含肾上腺素的2%利多卡因浸润软组织,沿下侧软骨(即大翼软骨)外侧脚尾端边缘向内切开双侧鼻前庭
Nasal approach nasal septum nasal plasty directly expose the nasal cartilage and bony structures, surgery under direct vision. Children’s rhinoplasty is mainly to deal with nasal septum problems, this article aims to introduce the author’s experience in this regard. From 1972 to 1984, the authors performed nasal septoplasty in 15 cases, 10 males and 5 females aged from 10 to 17 years. Of the 15 cases, 8 were between 15 and 17 years old and 4 were less than 10 years old. Nasal septoplasty was performed in 8 cases in the past. Nasal congestion was observed in all cases, nasal airflow resistance was measured in 3 cases preoperatively, and postoperative recurrence was measured in 1 case. Nasal airflow resistance was significantly reduced. Surgery: supine, anesthesia endotracheal intubation with 5% cocaine solution immersed in the cotton for 15 to 20 minutes to adrenaline containing 2% lidocaine infiltration of soft tissue along the lower cartilage (ie, large Vascular cartilage) Lateral caudal margin of the lateral incision bilateral nasal vestibule