【摘要】：目的:就鼻內(nèi)鏡下同期進(jìn)行外鼻整形(鼻背及鼻外側(cè)壁的整復(fù))加鼻功能手術(shù)(鼻中隔矯正加下鼻甲、中鼻甲手術(shù),甚至擴(kuò)展至鼻腔擴(kuò)容術(shù)、鼻竇炎手術(shù)等)的手術(shù)方法進(jìn)行探討。方法:選取2010-2015年在同仁醫(yī)院同期進(jìn)行鼻內(nèi)鏡下功能性鼻整形術(shù)的20例患者為研究對(duì)象。其中17例行鼻內(nèi)鏡下鼻中隔矯正術(shù)加歪鼻畸形矯正術(shù)(1例同期行腺樣體等離子切除術(shù),7例行下鼻甲或中鼻甲手術(shù));1例行鼻內(nèi)鏡下淚囊鼻腔吻合術(shù)加鼻中隔矯正術(shù)加歪鼻畸形矯正術(shù);2例行鼻內(nèi)鏡下鼻竇開(kāi)放術(shù)加鼻中隔矯正術(shù)加歪鼻矯正術(shù)。20例行鼻內(nèi)鏡下外鼻整形術(shù)中只有5例使用硅膠假體,其余15例均使用自體軟骨。結(jié)果:20例手術(shù)患者,與單獨(dú)行鼻整形、鼻內(nèi)鏡下鼻中隔矯正加下鼻甲、中鼻甲手術(shù),甚至擴(kuò)展至鼻腔擴(kuò)容術(shù)、鼻竇炎手術(shù)的患者相比,手術(shù)效果更好,無(wú)其他并發(fā)癥發(fā)生,反而減少了手術(shù)治療的次數(shù)及住院費(fèi)用。結(jié)論:鼻內(nèi)鏡下功能性鼻整形術(shù)(聯(lián)合鼻內(nèi)鏡下鼻功能手術(shù)加外鼻整形術(shù))不僅同期解決了鼻部形態(tài)和鼻部的通氣功能,避免了鼻整形過(guò)程中對(duì)通氣功能的影響,實(shí)現(xiàn)了美容和功能的統(tǒng)一,同時(shí)減少了手術(shù)治療的次數(shù)和費(fèi)用,和常規(guī)手術(shù)相比無(wú)其他并發(fā)癥發(fā)生,可行性高。
[Abstract]:Objective: to perform external rhinoplasty (reconstruction of the back and lateral wall of the nose) and nasal function surgery (nasal septum correction plus inferior turbinate, middle turbinate surgery, and even extended to nasal dilatation) at the same time under nasal endoscope. The surgical methods of sinusitis, etc., were discussed. Methods: from 2010 to 2015, 20 patients undergoing endoscopic functional nasal plastic surgery in Tongren Hospital were selected as the subjects. Endoscopic nasal septum correction and crooked nasal deformity were performed in 17 cases (1 case underwent adenoid plasma resection and 7 cases underwent inferior turbinate or middle turbinate surgery). One case was treated with endoscopic dacryocystorhinostomy plus nasal septum correction and askew nose deformity correction, and 1 case was treated with endoscopic dacryocystorhinostomy plus nasal septum correction and askew nose deformity correction. Endoscopic sinus surgery plus nasal septum correction and crooked nasal correction were performed in 2 cases. Only 5 cases were treated with silicone prosthesis and the other 15 cases were treated with autologous cartilage in 20 cases of endoscopic external nasal plastic surgery. Results: compared with the patients who underwent nasal plastic surgery alone, endoscopic nasal septum correction plus inferior turbinate, middle turbinate surgery, and even extended to nasal dilatation and sinusitis, the surgical effect was better and no other complications occurred. On the contrary, the number of surgical treatment and hospitalization costs are reduced. Conclusion: endoscopic functional nasal plastic surgery (combined with endoscopic nasal function surgery and external nasal plastic surgery) not only solves the nasal morphology and nasal ventilation function at the same time, but also avoids the influence on ventilation function in the process of nasal plastic surgery. It realizes the unity of beauty and function, and reduces the frequency and cost of surgical treatment. compared with conventional surgery, there are no other complications, and the feasibility is high.
【作者單位】： 北京豐臺(tái)醫(yī)院耳鼻咽喉科;首都醫(yī)科大學(xué)附屬北京同仁醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R765.9

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