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近年来,我们采用带蒂粘骨膜瓣转移术修补鼻中隔穿孔13例,其中12例成功。13例中,因作鼻中隔粘膜下切除造成穿孔者12例,鼻中隔脓肿致鼻中隔穿孔1例。多数有鼻内发干、嗅觉减退症状;少数有鼻臭、伴有脓痂排出、易鼻衄及呼吸时发哨音。穿孔直径在0.5～1.0厘米之间。手术方法;麻醉鼻前庭皮肤与鼻腔粘膜后,经左侧鼻腔,于鼻前庭皮肤与鼻中隔粘膜交界处向前2～3毫米作一弧形切口,并向后向外延长至鼻腔外侧壁,切透软骨膜与骨膜,继则分离鼻中隔与鼻底粘骨膜。根据穿孔的位置,大小及选择转移粘骨膜瓣的位置酌情确定分离范围。(1)若穿孔位于鼻中
In recent years, we use pedicled mucoperiosteal flap to repair nasal septum perforation in 13 cases, of which 12 cases were successful. In 13 cases, 12 cases were caused by submucosal resection of nasal septum and 1 case was nasal septum perforation caused by nasal septal abscess. Most have dry hair inside the nose, the symptoms of hypogonadism; a few have nose odor, accompanied by pus scab excretion, epistaxis and whistling when breathing. Perforation diameter of 0.5 to 1.0 cm between. Surgical methods; anesthesia nasal vestibular skin and nasal mucosa, the left nasal cavity, nasal vestibular skin and nasal septum mucosa at the junction of the anterior 2 ~ 3 mm incision for an arc-shaped incision, and extended outward to the outside of the nasal cavity lateral wall, cut Through the periosteum and periosteum, followed by the separation of nasal septum and nasal mucoperiosteal. According to the location of the perforation, size and location of the mucoperiosteal flap to be selected to determine the separation range. (1) If the perforation is in the nose