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歪鼻是鼻偏离中线的畸形,它变成了一侧为宽阔的凹面而另一侧为狭窄凸面的不对称形状,骨架和软骨弓的畸形几常同时存在,由于二者形成了一个解剖学上的整体,故手术必须兼顾。歪鼻多因外伤引起,如果外力作用过大则除鼻樑外,还可影响骨架结构,包括筛骨垂直板、犁骨、鼻嵴和中隔软骨使之移位。在外伤早期,这些组织继续各自独立生长,结果就导致增厚、骨刺生成和弯曲变形而对鼻的其他结构产生机械性阻塞和牵张。本文简要地复习和评价了以往歪鼻手术矫治的历史,并对各种方法进行了评论,然后介绍了作者们矫治手术的新方法。他们首先强调术中最重要的为对骨性中隔的处理。具体操作为先在鼻
Crooked nose is the deformity of the nasal deviation from the midline and it becomes an asymmetrical shape with a wide concave surface on one side and a narrow convex surface on the other side. The deformities of the skeleton and the cartilage bow often occur at the same time, since both form an anatomy On the whole, so surgery must take into account. Distorted nose mostly due to trauma, if the external force is too large, in addition to the nasal bridge, but also affect the skeletal structure, including ethmoid vertical plate, vomer, nasal ridge and septal cartilage to shift. In the early stages of trauma, these tissues continue to grow independently of each other, resulting in thickening, spur formation and bending deformation while mechanically obstructing and distracting other structures of the nose. This article reviews and assesses the history of previous crooked nose surgery briefly and comments on various methods, and then introduces the authors’ new method of orthodontic surgery. They first emphasize the most important intraoperative treatment of the bony septum. Specific operation for the first in the nose