软骨扩展移植物治疗鼻阀功能不良

Use of a spreader graft for treatment of nasal valve dysfunction

目的探讨软骨扩展移植物在鼻阀功能不良治疗中的作用。方法回顾性分析使用软骨扩展移植物治疗的两例鼻阀功能不良患者的临床资料,并复习文献,简述该疾病的进展。结果两例患者均以鼻塞为主要症状,术前平静呼吸时鼻侧壁塌陷,采用软骨扩展移植物治疗后,鼻塞症状完全消失,用力吸气时,鼻侧壁塌陷消失。结论软骨扩展移植物是治疗鼻侧壁软骨塌陷导致鼻阀功能不良的有效手段,其长期有效性值得期待。

Objective To explore the treatment of nasal valve compromise by using a spreader graft. Methods Two cases of pa- tients with nasal valve compromise treated by using a spreader graft were analyzed, and a literature review was performed. Results Preoperatively, the main complaint of the two patients was nasal obstruction, and the lateral wall of the nasal cavity was found to collapse during quiet breathing. After surgery using a spreader graft, the symptom of nasal obstruction in both patients resolved, and the lateral nasal wall did not collapse even during deep inspiration. Conclusion Surgery using a spreader graft is effective for pa- tients with nasal valve dysfunction. The long-term effects of this technique were favorable.