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目的:探讨歪鼻矫正鼻功能重建的手术效果。方法:102例歪鼻患者全部采用鼻内进路。行鼻中隔“摇门”术矫正软骨性歪鼻32例,行骨鼻锥松动、重塑术矫正骨性歪鼻和鼻软骨混合性歪鼻53例,骨鼻锥楔形切除矫正严重骨鼻锥不对称性歪鼻3例,削低或垫高骨鼻锥矫正不规则性歪鼻14例。结果:随访6～48个月(平均20个月),歪鼻矫正良好92例,满意率为92.2%。结论:鼻内进路、多种技术应用矫正歪鼻畸形重建鼻功能,可获得美容和鼻功能改善的双重效果。术中矫正鼻中隔、彻底松解畸形部位的组织及矫正后的内外固定是保证手术成功的关键。
Objective: To investigate the surgical effect of skewed nose correction of nasal reconstruction. Methods: All 102 patients with distorted nose were treated with intranasal approach. 32 cases of correction of cartilaginous crooked nose by nasal septum and “swing door” technique were performed. 53 cases of skeletal crooked nasal and nasal cartilage mixed crooked nose were treated by remodeling operation, and bone and nose wedge resection was performed to correct serious bone and nose 3 cases of asymmetric cone askew nose, 14 cases of crooked nose correction or irregular bone rhinoplasty. Results: The follow-up ranged from 6 to 48 months (average 20 months). The corrected skewed nose was well corrected in 92 cases, with a satisfactory rate of 92.2%. Conclusion: The intranasal approach and various techniques can correct nasal function by correcting crooked nasal deformity, and obtain the dual effect of improving the beauty and nasal function. Intraoperative correction of the nasal septum, the complete release of the deformity of the site of the organization and correction of internal and external fixation is to ensure the success of surgery.