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习用的鼻中隔粘膜下切除术(Killian手术),是在鼻中隔粘软骨膜上作“(”切口。其缺点是在畸形复杂或结缔组织增生粘连的情况下,因手术野和视野的局限性,难以矫正完全,并因粘膜剥离困难,往往会留下粘连区,此时钳除偏曲的软骨质,易造成粘膜损伤或引起鼻中隔穿孔。此外,手术切除的软骨部分较大,影响鼻的正常呼吸机能。对于鼻发育未完全的儿童,手术更是禁忌。故鼻中隔粘膜下切除术已不应再视为鼻中隔偏曲处理的常规手术。 10年来,我们开展了鼻粘膜下矫正术。其特点是:手术野大,鼻中隔各部暴露充分,操作方便。视野清楚,在明视下剥离,
Conventional nasal septum submucosal resection (Killian surgery), is in the nasal septal adhesions periosteum for “(” incision. The disadvantage is that in the case of complex deformity or connective tissue hyperplasia, due to limitations of the surgical field and vision, it is difficult Correction is complete, and because of mucosal delamination difficulties, tend to leave adhesions area, this time clamp deviation of cartilage, easy to cause mucosal injury or nasal septum perforation.In addition, the surgical removal of the larger part of the cartilage, affecting the normal nasal Respiratory function .For children with incomplete nasal development, surgery is more taboo.So nasal septum submucosal resection should no longer be regarded as routine surgery for nasal septum deviation.We have carried out nasal submuscular surgery over the past 10 years. Yes: large surgical field, nasal septum exposure to each full, easy to operate. Clear vision, stripping under the light,