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目的探讨鼻内窥镜下行带蒂鼻中隔黏骨膜瓣转位联合游离下鼻甲黏膜瓣修补鼻中隔穿孔的疗效。方法在鼻内窥镜下于鼻中隔穿孔一侧行带蒂鼻中隔黏骨膜转位贴补穿孔,另一侧采用游离的下鼻甲黏膜组织瓣贴补,并且与鼻中隔黏骨膜缝合固定。结果 12例鼻中隔穿孔均一次性修补成功,随访3个月以上未见再穿孔。结论鼻内窥镜下行带蒂鼻中隔黏骨膜瓣转位联合游离下鼻甲黏膜瓣修补鼻中隔穿孔是疗效显著的方法。
Objective To investigate the effect of nasal endoscopic descending transosseous nasal septum mucoperiosteal flap transposition combined with free inferior turbinate mucosal flap to repair nasal septal perforation. Methods In the nasal endoscopic nasal septum perforation side of the pedicle with nasal septum mucoperiosteal perforation perforation replacement, the other side of the free inferior turbinate mucosal tissue flap affixed, and with the septal mucoperiosteal suture fixation. Results All the 12 cases of nasal septum perforation were successfully repaired. No more perforation was found after more than 3 months follow-up. Conclusion Nasal endoscopic descending transosseous nasal septum mucoperiosteal flap transposition combined with free inferior turbinate mucosal flap to repair nasal septal perforation is a significant effect.