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作者们在1972年6月至1976年6月间采用硅胶揿扣治疗73例鼻中隔穿孔病例,其症状是:干痂68例、鼻出血50例、鼻呼吸困难41例、鼻内哨声11例、头痛6例、后鼻孔流涕5例、鼻漏4例和嗅觉缺失4例。开始时是手工切割硅胶块成揿扣状,不够整齐光洁,后改用特制硅胶揿扣。硅胶揿扣呈圆形,直径大于3cm,由两翼片构成,每片厚约1mm,其中央轴凸直径5mm,高3mm。使用时可按患者鼻中隔穿孔大小修剪硅腔揿扣的两翼片,使直径大于穿孔5mm以上,可降低揿扣的被挤出率。大多数病例(67例)在门诊仅用5%可卡因麻醉后插入,不需作任何手术;另外6例是在同时作其他鼻内手术如粘连松解术、鼻
The authors treated 73 patients with nasal septum perforation with a silica gel cuff between June 1972 and June 1976. The symptoms were: dry scab 68 cases, rhinorrhagia 50 cases, nasal breathing difficulties 41 cases, nasal whistles 11 cases , Headache in 6 cases, posterior nasal discharge in 5 cases, rhinorrhea in 4 cases and olfactory loss in 4 cases. The beginning is hand-cut silicone blocks into 揿 button-like, not neat and smooth, after the switch to a special silicone 揿 button. Silicone clasp is round, diameter greater than 3cm, formed by the two fins, each piece is about 1mm thick, the central axis convex diameter 5mm, height 3mm. When used according to the size of the patient nasal septum perforation silicon trimming the two claws buckle, so that the diameter of more than 5mm perforation, can reduce the rate of deduction is deducted. Most of the cases (67 cases) were inserted in the outpatient setting with only 5% cocaine anesthesia without any surgery; the other 6 cases were treated with other intranasal procedures such as adhesiolysis,