鼻内镜下歪鼻整形术（Nasal endoscopic rhinoplasty）.docVIP

鼻内镜下歪鼻整形术（Nasal endoscopic rhinoplasty） The Chinese Journal of orthopaedic surgery ## years the (Vol. 9: 1=, -678;.? @ ABC% , 2B ##%; (AB%, - $$. Nasal endoscopic rhinoplasty Hu Haiwen, Wang Wenxiao, Zhang Kunling Data and methods % clinical data An example of a man (woman, woman). Age! * * + years, average years. # cases of traumatic external nose askew, more than were caused by abnormal development. All accompanied Deviation of nasal septum, the high bone deviation (for example - type deviation with bone cartilage Department of cristae # cases. Type deviation + cases, middle nasal septal cartilage and the perpendicular plate of the ethmoid bone Serious cases of deviation to the side. According to Wang Jiens classification method, the type is crooked Nose ) cases. Type deviated nose (for example, skew type broken nose # cases. % surgical procedure % anesthesia: local infiltration anesthesia, plus [tetracaine] cotton, surface anesthesia. Intoxicated, nasal septum on both sides still need local infiltration anesthesia. % incision: according to the different types of deviated nose, use the following two incisions, - type crooked The nose can do deviated incision in the concave side, cut along the lateral margin of the nasal columella nasi, since Bottom to tip up to the nose side edge extends * * 00, as shown in Figure 1. Crooked type; Do nasal columella incision was 2, as shown in Figure 3, and along the nasal columella side edge to. Reach the tip of the nose, and then along the medial margin of alar extends to both sides * * 00, in order to violence Dew. The oblique pattern is more often done with the incision of figure 3. %% separation: cut the skin and subcutaneous tissue, sharp ophthalmic scissors Separate and cross the top of the nasal septal cartilage, separating the nose from the nasal tip Septal cartilage perichondrium - front stick, crooked nose only separation concave nasal septum The side stick cartilage membrane; separation type. The nasal septum cartila