本文就鼻中隔穿孔修补采用徙前术粘膜瓣及加强结构的结缔组织自体移植物作了详尽的描述。非手术疗法:鼻内干痂可用盐水冲洗涂用油膏,有葡萄球菌和绿脓杆菌感染时可用糖盐水加醋或1～2匙硼酸粉冲洗。上述方法无效时可用一个钮扣状的硅胶或丙烯树脂物塞入穿孔部,但只适于1～2cm的穿孔。中隔穿孔的手术疗法:术中分离粘骨膜最好用一个锐的Free或Cottle分离器。应用旋转刀时需先将两边的粘膜从软骨上分离。当骨与软骨的交接处有锐的骨棘或畸形时可从粘骨膜下切除之。中隔粘膜瓣的设计将保留筛动脉及蝶腭动脉的分支于蒂内。因穿孔边缘的粘膜脆弱萎缩,所以移植物的插入可加强其局部结构。颞筋膜来源于耳上颞肌,常需大于穿孔2cm,取出置之干 This article on the nasal septum perforation repair using preoperative migration of mucosal flap and strengthen the structure of connective tissue autografts made a detailed description. Non-surgical treatment: intranasal dry scab can be washed with saline applied ointment, Staphylococcus aureus and Pseudomonas aeruginosa infection can be used sugar and vinegar or vinegar boil 1 to 2 tablespoons of borate powder. When the above method is invalid, a button-shaped silicone or acrylic resin can be used to insert the hole into the hole, but it is only suitable for 1 ~ 2cm holes. Surgical treatment of septal perforation: intraoperative mucoperiosteal separation is best to use a sharp Free or Cottle separator. When using a rotary knife, the mucous membranes on both sides must be separated from the cartilage first. When the junction of bone and cartilage sharp spine or deformity can be removed from the mucoperiosteal. Septal mucosal flap design will retain the screen artery and sphenopalatine artery branches in the pedicle. Due to the fragile atrophy of mucosa at the perforation edge, the insertion of the graft enhances its local structure. Temporal fascia from the temporal muscles of the ear, often larger than the perforation 2cm, remove the set of dry