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目的:针对复杂鼻骨骨折闭合性复位效果不理想,采用一期鼻整形手术并观察治疗效果。方法:对18例复杂鼻骨骨折病人,采用鼻小柱倒“V”切开+双侧鼻翼软骨间切开-鼻内入路,联合软骨移植替代鼻骨,进行复杂鼻骨骨折鼻整形手术。结果:18例随访2～12个月,优18例,鼻畸形矫正满意,外形和鼻通气功能恢复良好。结论:对无法有效固定和需要植骨的复杂鼻骨骨折患者,该术式疗效好,手术安全,损伤小,面部无疤痕,值得推广应用。
OBJECTIVE: To investigate the effect of closed reduction of complex nasal bone fractures with unsatisfactory occlusion and nasal plastic surgery. Methods: 18 cases of complex nasal fracture patients were treated with nasal column inverted “V” incision + bilateral alae cartilage incision - intranasal approach, combined with cartilage replacement instead of nasal bone for complicated nasal fracture rhinoplasty. Results: Eighteen cases were followed up for 2 ~ 12 months and excellent in 18 cases. The nasal deformity was corrected satisfactorily and the shape and nasal ventilation function recovered well. Conclusion: For patients with complex nasal fracture who can not be effectively fixed and need bone graft, this technique has good curative effect, safe operation, small injury and no facial scarring. It is worth popularizing and applying.