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目的探讨鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲的可行性及疗效。方法全身麻醉下行黏膜下鼻中隔骨、软骨上至鼻顶,下至鼻底的大块切除,体外修平鼻中隔软骨部侧突的嵴突,依据软骨部、骨部偏曲弧度的大小,将软骨纵行切割成宽0.3~0.5 cm条状,骨部则采取骨折取平或修剪成平直块状,用5°带针可吸收线将相邻软骨条中上及中下1/4处,骨、软骨间及骨、骨间间断缝合固定,缝合间距0.1 cm,将骨、软骨栅回置,缝合切口。结果患者均无并发症,随访2~3.5年,患者鼻腔通气良好,无鼻小柱回缩、鼻底增宽等外鼻形状改变,鼻中隔居中无穿孔,用力呼吸鼻中隔无飘动。结论鼻中隔骨、软骨栅状缝合回置法治疗青少年鼻中隔偏曲切实可行。
Objective To explore the feasibility and efficacy of nasal septum and cartilage patellar suture back to treat nasal septum deviation in adolescents. Methods Under general anesthesia, submucosal nasal septum, cartilage from the top of the nose to the bottom of the nose were resected, and the ridge of cartilaginous lateral part of the nasal septum was repaired in vitro. According to the radius of cartilaginous and osseous curvature, Line cut into wide 0.3 ~ 0.5 cm strip, the bone is taken flattened or trimmed into flat lumps with 5 ° with needle absorbable line will be adjacent cartilage in the upper and lower 1/4, bone , Between the cartilage and bone, bone interrupted suture fixation, suture spacing 0.1 cm, the bone, the cartilage gate back, suture incision. Results There were no complications in patients. The patients were followed up for 2-3.5 years. The patients had good nasal ventilation, no retraction of the columella, widened nasal floor and other external nasal shapes. There was no perforation in the nasal septum and no flutter in the respiration nasal septum. Conclusion Nasal septum and cartilage patellar suture back treatment of adolescent nasal septum deviation feasible.