宽鼻背缩窄截骨术临床应用探讨

An explore of clinical application in nasal osteotomies for the wide nasal forsum

目的:总结运用内外侧联合截骨术治疗鼻背宽大畸形的经验。方法:经鼻小柱旁入路行鼻骨内侧截骨术,经鼻内梨状孔处黏膜切口或口内上齿龈沟切口,沿鼻颌沟行外侧截骨术,内、外侧联合截骨治疗鼻背宽大畸形。结果:本组24例患者,术后随访2个月～10个月,效果满意,鼻外形恢复良好。结论:内外侧联合鼻骨截骨能有效地矫正鼻背宽大畸形,获得满意的治疗效果。

Objective To summarize the experience of repairing wide nasal dorsum deformity through medial osteotomy and lateral osteotomy. Methods Performing medial osteotomy through internal rhinoplasty approach, then performing lateral osteotomy through pyriform aperture or intraoral approach and along nasomaxillary groove,treat wide nasal dorsum deformity through medial osteotomy and lateral osteotomy. Results 24 patients were managed with this measure,the period of follow-up ranges from 2 months to 10 months,the outcomes were excellent in all 24 cases. The deformity of the nose was corrected satisfactorily and normal nasal shape was obtained. Conclusions Medial osteotomy combined with lateral osteotomy can efficiently correct wide nasal dorsum,the normal nasal shape can obtained after the operation.