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目的采用鼻中隔粘膜皮肤侧2mm处切口行“L”形鼻中隔矫正术,预防术后中隔穿孔及其它并发症。方法常规术前准备,一周前鼻腔点薄荷油剂,口服抗生素、B族维生素、VitC和甘油,待鼻中隔粘膜糜烂基本恢复后,在局麻下在中隔皮肤与粘膜交界处的皮肤侧(1~2)mm作“L”形切口向鼻底延长,分离时将鼻底粘骨膜一并掀起,术中注意偏曲的软骨和骨及粘骨膜撕破的处理,术后48h去除鼻腔填塞纱条。结果50例术后切口一期愈合,随访(3~6)个月未发现穿孔及其它并发症。结论术前用药和术中采用鼻中隔粘膜皮肤侧2mm处切口行“L”形鼻中隔矫正术,减少了术后中隔穿孔的机会,效果满意。
Objective To adopt “L” shaped resection of nasal septum at 2mm incision on mucocutaneous side of nasal septum to prevent postoperative septal perforation and other complications. Methods Normal preoperative preparation, a week ago, nasal point peppermint oil, oral antibiotics, vitamins B, VitC and glycerol, nasal septal mucosal erosion was basically restored, under the local anesthesia in the skin and mucous membrane at the junction of the skin side ~ 2) mm for the “L” shaped incision to extend the nose, mucosa of the nasal floor will be set off at the same time, pay attention to the deviation of the cartilage and bone and mucoperiosteal tear treatment, removal of nasal packing yarn after 48h Article. Results 50 cases of incision healing after a follow-up (3 ~ 6) months did not find perforation and other complications. Conclusion Preoperative medication and intraoperative use of nasal septum mucosa 2mm incision on the skin line “L” shaped septum corrective surgery to reduce the chance of postoperative septal perforation with satisfactory results.