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asbryobvrz · Wysłany: Nie 13:55, 13 Mar 2011

External nasal septal perforation repair with the approach of the saddle nose surgery Ⅰ

Separation of the left nerve stripper to the perforation of nasal septum cartilage edge stick, then small round knife open. If a larger hole can be separated with the use of endoscopic perforation of the rear and below the cut. If the Ministry of cartilage near the bridge of the nose piercing, can be cut eye and the left side of the nasal septal cartilage in the joints between the cut cartilage. Separated from the perforated edge of the mucoperiosteal to 1.0 ~ 1.5enl. 6 times greater than the perforated edge of taking the fascia lata,[link widoczny dla zalogowanych], trimmed closed under embedded in mucoperiosteal perforation on the top and front of 3-0 catgut suture on the lateral nasal cartilage and septal cartilage. Surface paving on both sides of the septum and Vaseline gauze compression of gelatin sponge to iodoform gauze nasal retractor to pull up to open the skin of external nose, nasal bone close to the surface of separation to the the midpoint of the line). Low or the tip of the nose shorter columella, columella incision down the tunnel to the nasal spine separation. Into prefabricated Interrupted suture incision on both sides of the nose with gauze and tape securely. 227 * after intravenous antibiotics cable 5 ~ 7d. After 5 ~ 7d gauze packing fractional extraction, removal of sutures. Nasal septum perforation repair after a daily treatment cream coated cable Gao Jie, until the epithelium completely covered fascia lata. 2 Results of 9 cases were observed for 6 months to 7 years, the perforation are more units. Using the L trauma, caused by inflammation and perforation of nasal septum cartilage in most parts of the Department. except there nasal dryness, crusting, nasal congestion, headache and recurrent epistaxis, nasal breathing and other symptoms with the whistle,[link widoczny dla zalogowanych], before the larger cartilaginous the bridge of the nose and above the hole will lose the support of the columella downward collapse, resulting in different degrees of secondary saddle nose. To further improve the surgical treatment of these patients meet the requirements of the patients nose beauty, we take external nose approach of nasal septal perforation repair of saddle nose with plastic surgery I solved this difficult problem, but also eliminates the pain of repeated surgery. Law easily obtained. surgery using the modified Anderson-Ries nostril into the road outside the incision hidden , fully exposed to the surgical field, coupled with the use of nasal endoscopy could be well separated perforated edges and avoid perforation expanded; should be matched in the fascia lata embedded suture, in addition to prevent displacement, but also help mold silicone nose plant income. (Received 1998-11-25) (fan series of abundance disk) nasal eosinophilic granuloma in 1 case clinical Zhang Wen Hu Shun Chen Ting Zhang Qijun patients, male, 52 years old. Six months ago, there was no significant difficulties induced intermittent occlusion of left nasal cavity , gradual increase, in March 1998 hospitalization. 1 month persistent nasal obstruction in patients with left facial swelling, swelling of the external nose surgery and anesthesia deformation, no pain,[link widoczny dla zalogowanych], fever, bleeding and other symptoms. examination: weight loss with anemia appearance, the left face and nose swell, no swollen lymph nodes neck and body, soft and smooth, without necrosis gum, heart and lung liver and kidney were normal. specialist examination: the left nasal mucosa pale, swollen left a bulging full of the proliferative nasal cavity, the surface smooth, pale, tough quality is not easy bleeding, the nasal septum to the right side over extrusion, using a cotton pad shrink ephedrine bad, still can not spy on the rest of the nasal cavity. nasopharynx: no new life. Valsalva sinus bit films, CT show: The sinus area was no exception. no abnormal immunoglobulin, antinuclear antibody negative, the biopsy can not be diagnosed 1st, 2nd biopsy sent to Electron Microscopy, Fujian Medical University examination suspected benign lymphoepithelial lesion . in the same year on April 3 in the tracheal intubation cut down the left nasal tumor of Otorhinolaryngology, Second Hospital of Fuzhou (Fuzhou, 350007) intraoperative see all of the left nasal cavity was filled with tumor tissue, smooth surface texture in the toughness slightly hard, no capsule and the inferior turbinate is difficult to distinguish, some violations of the nasal septum, maxillary sinus mucosa is normal. surgery went well and bleeding about 500ml. after the organization sent to Electron Microscopy, Fujian Medical University, and finally confirmed Langerhans cells in the nasal mucosa tissue hyperplasia, also known as eosinophilic granuloma. after 2 months later was again left tumor tissue filling the nasal cavity, the same year on June 20 at the Provincial Tumor Hospital, the line once again left nasal cavity tumor resection postoperative radiotherapy at the same time, the current patients in good condition,[link widoczny dla zalogowanych], no relapse discussion eosinophilic granuloma of bone damage is mainly confined to bone or a Histiocytosis, occurs in young people, more men than women , and more violations of the skull, mandible, ribs, mouth common gums,[link widoczny dla zalogowanych], alveolar process, the mandible, x-ray shows the skull, mandible were round or oval Farfetched bone defects, treatment and more use of local scratch plus low-dose radiation treatment. (animal husbandry, draft 1998-09-09) (shrink disc series Feng Ji)