三线减张法鼻中隔成形术的主观和客观疗效分析

Modified septoplasty with three high tension lines resection

目的根据鼻中隔偏曲形成的三条高张力线的生物力学特点,设计三线减张法鼻中隔成形术,并评价该手术的客观和主观疗效。方法选取2005~2006年在北京同仁医院接受鼻中隔手术患者。回顾性分析病例特征、手术方式、适应证、术后并发症以及客观和主观检查。结果共纳入54例患者,随访时间为6~12个月。并发症包括短暂性牙痛/感觉异常(5.6%)、鼻腔粘连(7.4%)、鼻出血(1.9%)、鼻中隔血肿(3.7%)未见鼻中隔穿孔和鼻畸形。三线减张法鼻中隔成形术后患者的客观和主观疗效评价结果均有显著性改善。结论三线减张法鼻中隔成形术是一种新的改良鼻中隔矫正手术方法,可显著改善患者的客观和主观疗效。

OBJECTIVE According to the biomechanics of the septal deviation, a modified septoplasty with three high tension lines resection was redefined.The purpose of this study was to review the objective and subjective outcomes of the surgical technique. METHODS A retrospective review was conducted to identify patients undergoing septoplasty between 2005 and 2006 at Beijing Tongren Hospital. The records were reviewed for clinical characteristics, intraoperative technique, surgical indications,objective and subjective outcomes, and postoperative complications. RESULTS A total of 54 patients were identified. The follow-up period ranged from 6 to 12 months.The data showed that both the objective and subjective outcomes improved after septoplasty. Complications included transient dental pain/hypesthesia（5.6%）, adhesion of nasal cavity（7.4%）, epistaxis（1.9%）, septal hematoma（3.7%）.No septal perforation and nasal deformity occurred after operation. CONCLUSION The modified septoplasty with three tension lines resection is an effective and welltolerated procedure, which can improve the objective and subjective outcomes, and provide a good approach for various septal deviations, especially caudal deviation.