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为217 例鼻中隔偏曲患者行鼻中隔偏曲矫正术,9 例术中出现鼻中隔粘骨膜对位性穿孔,经及时用游离下鼻甲粘膜瓣修复,其修复要点是(1)继续分离中隔穿孔周围粘骨膜,去除穿孔周围的偏曲骨质,以完成中隔矫正术,并扩大放置鼻甲粘膜瓣的空间;(2)取下鼻甲粘膜瓣较正常的部分,要略大于中隔穿孔的大创孔面积,光滑粘膜面可修整使之较为粗糙,以利粘膜瓣生长。8 例修复成功,仅1 例发生术后中隔穿孔。
A total of 217 nasal septum deviation patients undergoing nasal septum deviation correction surgery, 9 cases of nasal septum mucoperiosteal perforation, the timely use of free inferior turbinate mucosal flap repair, the repair points (1) continue to separate the perforation around the septum Mucoperiosteal perforation to remove perforation around the bone in order to complete the septum orthodontic surgery and expand the space for placing turbinate mucosal flap; (2) remove the turbinate mucosal flap than the normal part of slightly larger than the perforated hole Area, smooth mucosal surface can be trimmed to make it more rough, to facilitate mucosal flap growth. 8 cases were repaired successfully, only 1 case had postoperative septal perforation.