论文部分内容阅读
目的：探讨一种修补鼻中隔穿孔的新术式。方法：局麻下绕鼻孔内缘及鼻小柱根部作海鸥式切口，揭翻鼻小柱，广泛剥离鼻中隔及鼻底部粘骨膜，在两侧鼻腔作不同方位的减张切口后各自将穿孔边缘作错位的外翻褥式缝合，用自体胫骨骨膜瓣嵌植于中隔粘骨膜内，然后作鼻腔填塞。结果：３ 例鼻中隔穿孔用本术式修补成功，分别随访１～２ 年无复发。结论：本术式的特点是：术式较为新颖；进路较宽敞；减张较充分；缝合较牢固
Objective: To explore a new technique of repairing nasal septum perforation. Methods: Under local anesthesia, the inner edge of the nostril and the root of the nasal columella were resected by seagulls. The columella was dissected and the nasal septum and the mucocutaneous mucosa were dissected extensively. The marginal perforation edge Ectopic mattress suture for the wrong place, with self-tibial periosteal flap embedded in the septal mucoperiosteal, and then for nasal packing. Results: Three cases of nasal septum perforation were successfully repaired with this procedure. No recurrence was observed in one to two years follow-up. Conclusion: This procedure is characterized by: a new surgical approach; access more spacious; more than a full reduction; suture more firmly