扩大鼻瓣膜区治疗鼻瓣膜区狭窄性鼻阻塞

Treating stuffiness nasal with narrow nasal valve by widening the nasal valve

目的 :研究治疗鼻瓣膜区狭窄性鼻阻塞的新方法。方法 :32例鼻瓣膜区狭窄患者 ,行下鼻甲前端切除术 1 0例 ,鼻外侧软骨凸出矫正术 4例 (左侧 2例、双侧 2例 ) ,骨性梨状孔狭窄扩大术 6例 (左侧 2例、双侧 4例 ) ,观察手术前后鼻通气改善情况以判定疗效。结果 :32例患者经半年～ 2年随访 ,疗效显著 2 6例 ,占81 .2 ,好转 6例 ,占 1 8.8% ,总有效率为 1 0 0 % ,无手术并发症。结论 :手术扩大狭窄鼻瓣膜区符合鼻腔解剖和生理功能 ,手术操作简单 ,术野清晰 ,组织损伤小 ,出血少 ,术后反应轻 ,痛苦小 ,无手术并发症。

Objective:To explore a new method for curing the stuffiness nasal with narrow nasal valve.Methods:Among these 32 patients with narrow nasal valve,10 were operated with anterior inferior turbinectomy,4 with deviation orthopedic of protruding triangular outer cartilage (2 on the left,2 on both sides),6 with bone-widen operation of osseous pyriform aperture(2 on the left,4 on both sides).The nasal ventilation before and after operation was observed.Results:Followed-up for 6～24 months,26 of them (81 2%) obviously lightened the stuffy symptom,6 of them(18.8%) were improved,and the total effective rate was 100%.No complication occurred .Conclusion:This method of widening nasal valve fits to the anatomical and physiological action of nasal cavity.This operation is simple,with distinctly operative field,less injured and less bleeding.After operation,the patients have less pains and recover quickly without complication.