鼻中隔偏曲合并歪鼻的微整形手术治疗方法探讨

Discussion on the micro-plastic operative treatment of nasal septum deviation combined with crooked nose

目的:探讨鼻中隔偏曲合并歪鼻的微整形手术治疗方法。方法:设计鼻中隔尾侧切口,施行三线减张法进行鼻中隔偏曲的矫正,鼻中隔尾侧端与前鼻棘连接重新定位、固定缝合的微整形技术矫正歪鼻。结果:所有患者术后鼻中隔居中,鼻腔功能及症状改善,无鼻腔粘连及鼻中隔穿孔等并发症。鼻尖居中,鼻背挺直,矫形效果满意。结论:与传统的歪鼻手术技术不同,通过采用微整形技术,可以对一部分歪鼻合并鼻中隔偏曲患者施行同期手术,手术损伤小,风险低,但要合理掌握适应证人群。

Objective：To explore the micro-plastic operative treatment of deviated nose combined with nasal septum deviation.Method：We designed the incision at the caudal side of the nasal septum.The three-line reduction method for correcting nasal septum deviation was performed.The connection of the caudal nasal septum and the anterior nasal spine was reposited.The micro-plastic surgery with fixed suture was used to correct the deviated nose.Result：After the surgery,the nasal septum deviation was corrected,whose nasal function and symptoms improved without nasal adhesion,nasal septum perforation or other complications.Meanwhile,the nasal tips were in the middle place and nasal dorsums were straight.The aesthetic outcome was satisfactory.Conclusion：Compared to the traditional orthopedic technique,the micro-shaping technique can be used for the homochromous operation of crooked nose combined with nasal septum deviation with less injury and lower risk.We suggest this micro-shaping technique be used in a rational way.