内镜辅助下歪鼻的形态与通气功能一期矫正

Abstract

目的 探讨利用内窥镜行歪鼻鼻中隔偏曲矫正、骨性矫正术,达到歪鼻与通气障碍的形态与功能的一期矫正的治疗方法及效果.方法 自2015年9月至2017年6月,对60例骨性歪鼻并鼻中隔偏曲患者行鼻内窥镜下鼻中隔偏曲矫正术联合骨性歪鼻整形术,观察手术治疗效果.结果 随访8～15个月,60例患者58例治愈(96.67％),偏曲值均在2 mm以下,患者满意率为99％,鼻腔通气功能改善.结论鼻中隔偏曲并骨性歪鼻可经鼻内镜同时行鼻中隔偏曲矫正术及骨性歪鼻整容术,达到歪鼻与通气障碍的形态与功能的一期矫正的目的,具有疗效微创、术野清晰、患者痛苦小、恢复快、并发症少、确切的优点,值得临床推广与应用.

Objective To explore the application of an endoscopic-assisted approach in septal deviation and bony deflection corrective surgery.To evaluate the effect of one-stage correction of crooked nose morphology and nasal airways.Methods Endoscopic-assisted corrective rhinoplasty and septoplasty were performed in 60 cases with septal deviation and bony deflection.Treatment efficacy was evaluated.Results The follow-up period was from 8 to 15 months.All cases showed various degrees of improvement.The crooked noses in 58 cases were fully corrected (96.67％),and the deviation was less than 2 mm.The patients' satisfaction rate was 99％,and no complications such as nasal septal perforation or nasal cavity synechia were reported.Conclusion Septal deviation combined with bony deflection can be corrected by performing corrective rhinoplasty and septoplasty simultaneously,achieving one-stage improvement of crooked nasal morphology and nasal airway function.This approach has the advantages of minimal invasion,clearer ability to visualize nasal morphology during surgery,less pain,shorter recovery time,fewer complications,and better overall outcomes.This method is recommended for popularizing in clinical application.