Therapie der Nasenklappenstenose

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• 作者：Prof. Dr. W. Heppt (1)
  T. Hildebrandt (2)
  J. Vent (3)
  
  1. Klinik f眉r Hals-Nasen-Ohrenheilkunde ; Kopf- und Halschirurgie ; Plastische Gesichtschirurgie ; St盲dtisches Klinikum Karlsruhe ; Moltkestr. 90 ; 76133 ; Karlsruhe ; Deutschland
  2. ORL-Praxis an der Limmatklinik ; Z眉rich ; Schweiz
  3. Medizinische Fakult盲t Mannheim ; Klinik und Poliklinik f眉r Hals- ; Nasen- ; Ohrenheilkunde ; Kopf- und Hals-Chirurgie ; Ruprecht-Karls-Universit盲t Heidelberg ; Universit盲tsmedizin Mannheim ; Mannheim ; Deutschland
  
• 关键词：Nasenklappe ; Nasenatmungsbehinderung ; Nasenfl眉gelkollaps ; Rhinoplastik ; Nasenkorrektur ; Nasal valve ; Impaired nasal breathing ; Nasal valve collapse ; Rhinoplasty ; Nasal surgical procedures
• 刊名：HNO
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：63
• 期：3
• 页码：227-244
• 全文大小：1,912 KB
• 参考文献：1. Mink, (1963) Presse Otolaryngol: pp. 481
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  60. Heppt W, Vent J, Hildebrandt T (2015) Management of nasal valve stenosis. In: Uppal S (Hrsg) Head and neck surgery. Jaypee, Singapore (im Druck)
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0458

文摘

Nasal valve dysfunction is one of the most common causes of obstructed nasal ventilation. In most cases the cause is congenital, but iatrogenic occurrence after functional-aesthetic rhinoplasty is not infrequent. To diagnose nasal valve dysfunction, a thorough anamnesis, inspection, endoscopy, and palpation is required. If conservative therapy using rhinologic substances, as well as outer and inner stenting do not achieve the desired outcome, and the dysfunctional site can be localized, surgical procedures are indicated to improve nasal valve function. Numerous procedures and techniques are available, amongst which the most important ones shall be elucidated and discussed in the present article. These include septoplasty, septorhinoplasty, and enlargement of pyriform aperture stenosis, as well as corrections of the upper and lower lateral cartilages.