鼻面部畸形行功能性鼻整形术中应关注的问题
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摘要
鼻面部外伤可以造成鼻面部骨结构破坏和软组织结构的畸形,出现形态和功能上的缺陷,功能性鼻整形外科要求在改善外形的同时,恢复鼻功能。本文从功能性鼻整形外科角度就骨性鼻锥、软骨性鼻锥和鼻阀结构畸形中的常见的需关注的问题,作简要地阐述。
Objective Nasal facial trauma can cause local bone structure damage and soft tissue malformation, resulting in morphological and functional defects. Both the morphological reconstruction and functional improvement are the main purposes of functional rhinoplasty. From the perspective of functional rhinoplasty, the common concerns in the deformity management of nasal skeletal pyramid, cartilaginous pyramid and nasal valve are briefly expounded in this article.
Objective Nasal facial trauma can cause local bone structure damage and soft tissue malformation, resulting in morphological and functional defects. Both the morphological reconstruction and functional improvement are the main purposes of functional rhinoplasty. From the perspective of functional rhinoplasty, the common concerns in the deformity management of nasal skeletal pyramid, cartilaginous pyramid and nasal valve are briefly expounded in this article.
引文
[1] Egbert Hendrik Huizing,John A.M.de Groot.功能性鼻重建外科学[M].韩德民译.北京:人民卫生出版社,2006:110.EH Huizing,JAM de Groot.Functional reconstructive nasal surgery[M].Translated by Han DM.Beijing:People's Medical Publishing House,2006:110.
[2] Sch?nsted-Madsen U,Stoksted P.Long-term results of functional and cosmetic rhinoplastic surgery[J].Ear Nose Throat J,1992,71(2):61-62,65-69.
[3] Lee J,Constantinides M.Trends in functional rhinoplasty 2008[J].Curr Opin Otolaryngol Head Neck Surg,2009,17(4):295-301.
[4] Hwang K,You SH.Analysis of facial bone fractures:An 11-year study of 2094 patients[J].Indian J Plast Surg,2010,43(1):42-48.
[5] 苏振忠.耳鼻咽喉创伤学[M].北京:人民卫生出版社,2004:255-256.Su ZZ.Traumatology of the Ear Nose and Throat[M].Beijing:People’s Medical Publishing House,2004:255-256.
[6] James Chan,Sam P.Most.Diagnosis and management of nasal fractures[J].Opera Tech Otolaryngol,2008,19(4):263-266.
[7] Reilly MJ,Davison SP.Open vs closed approach to the nasal pyramid for fracture reduction[J].Arch Facial Plast Surg,2007,9(2):82-86.
[8] 孙爱东,练状,程泽星,等.鼻内镜下手术治疗外伤性鼻骨骨折伴鼻中隔偏曲的疗效分析[J].实用中西医结合临床,2017,17(7):98-99.Sun AD,Lian Z,Chen ZX,et al.Efficacy analysis on the treatment of traumatic nasal bone fracture with nasal septum deviation by endoscopic surgery[J].Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine,2017,17(7):98-99.
[9] 陈骥,李莹,王珮华,等.内镜辅助下鼻骨切开复位术的主观疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2017,25(4):257-260.Chen J,Li Y,Wang PH,et al.Analysis of the subjective effect of endoscopic assisted nasal bone reduction[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2017,25(4):257-260.
[10] Baril SE,Yoon MK.Naso-orbito-ethmoidal (NOE) fractures:A review[J].Inter Ophthalmol Clin,2013,53(4):149-155.
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[12] Chapman VM,Fenton LZ,Gao D,et al.Facial fractures in children:unique patterns of injury observed by computed tomography [J].J Comput Assist Tomogr,2009,33(1):70-72.
[13] Markowitz BL,Manson PN,Sargent L,et al.Management of the medial canthal tendon in nasoeithmoid orbital fractures:the importance of the central fragment in classification and treatment[J].Plast Reconstr Surg,1991,87(5):843-853.
[14] 李莹,陈东,王珮华,等.鼻眶筛骨折开放复位手术的客观疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2018,26(5):337-340.Li Y,Chen D,Wang PH,et al.Objective effect analysis of open reduction operation for naso-orbital-ethmoid fracture[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2018,26(5):337-340.
[15] Lübbers HT,Jacobsen C,Matthews F,et al.Surgical navigation in craniomaxillofacial surgery:expensive toy or useful tool?A classification of different indications[J].J Oral Maxillofacial Surg,2011,69(1) :300-308.
[16] Wei JJ,Tang ZL,Liu L,et al.The management of naso-orbitalethmoid (NOE) fractures [J].Chin J Traumatol,2015,18(5):296-301.
[17] Papadopoulos H,Salib NK.Management of naso-orbital-ethmoidal fractures[J].Oral Maxillofacial Surg Clin North Am,2009,21(2):221-225.
[18] 程学仕,黄学勤.鼻眶筛骨折的手术治疗[J].中国耳鼻咽喉颅底外科杂志,2015,21(3):242-244.Chen XS,Huang XQ.Surgical treatment of naso-orbital-ethmoid fracture[J].Chinese Journal of Otorhinolaryngology-Skull Base Surgery,2015,21(3):242-244.
[19] Sedwick JD,Lopez AB,Gajewski BJ,et al.Caudal septoplasty for treatment of septal deviation:aesthetic and functional correction of the nasal base[J].Arch Facial Plast Surg,2005,7(3):158-162.
[20] Foda HM.The caudal septum replacement graft[J].Arch Facial Plast Surg,2008,10(3):152-157.
[21] Cobo R.Correction of dorsal abnormalities in revision rhinoplasty[J].Facial Plast Surg,2008,24(3):327-338.
[22] Elwany S,Thabet H.Obstruction of the nasal valve[J].J Laryngol Otol,1996,110(3):221-224.
[23] Constantian MB,Clardy RB.The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty[J].Plast Reconstr Surg,1996,98(1):38-58.
[24] Maurice MM,Jen A,Honrado C.Nasal valve reconstruction:experience in 53 consecutive patients[J].Arch Facial Plast Surg,2004,6(3):167-171.
[25] Goode RL.Surgery of the incompetent nasal valve[J].Laryngoscope,1985,95(8):546-555.
[26] Schlosser RJ,Park SS.Surgery for the dysfunctional nasal valve.Cadaveric analysis and clinical outcomes[J].Arch Facial Plast Surg,1999,1(2):105-110.
[27] Sheen JH.Spreader graft:a method of reconstructing the roof of the middle nasal vault following rhinoplasty[J].Plast Reconstr Surg,1984,73(2):230-239.
[28] Teichgraeber JF,Gruber RP,Tanna N.Surgical management of nasal airway obstruction[J].Clin Plast Surg,2016,43(1):41-46.
[2] Sch?nsted-Madsen U,Stoksted P.Long-term results of functional and cosmetic rhinoplastic surgery[J].Ear Nose Throat J,1992,71(2):61-62,65-69.
[3] Lee J,Constantinides M.Trends in functional rhinoplasty 2008[J].Curr Opin Otolaryngol Head Neck Surg,2009,17(4):295-301.
[4] Hwang K,You SH.Analysis of facial bone fractures:An 11-year study of 2094 patients[J].Indian J Plast Surg,2010,43(1):42-48.
[5] 苏振忠.耳鼻咽喉创伤学[M].北京:人民卫生出版社,2004:255-256.Su ZZ.Traumatology of the Ear Nose and Throat[M].Beijing:People’s Medical Publishing House,2004:255-256.
[6] James Chan,Sam P.Most.Diagnosis and management of nasal fractures[J].Opera Tech Otolaryngol,2008,19(4):263-266.
[7] Reilly MJ,Davison SP.Open vs closed approach to the nasal pyramid for fracture reduction[J].Arch Facial Plast Surg,2007,9(2):82-86.
[8] 孙爱东,练状,程泽星,等.鼻内镜下手术治疗外伤性鼻骨骨折伴鼻中隔偏曲的疗效分析[J].实用中西医结合临床,2017,17(7):98-99.Sun AD,Lian Z,Chen ZX,et al.Efficacy analysis on the treatment of traumatic nasal bone fracture with nasal septum deviation by endoscopic surgery[J].Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine,2017,17(7):98-99.
[9] 陈骥,李莹,王珮华,等.内镜辅助下鼻骨切开复位术的主观疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2017,25(4):257-260.Chen J,Li Y,Wang PH,et al.Analysis of the subjective effect of endoscopic assisted nasal bone reduction[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2017,25(4):257-260.
[10] Baril SE,Yoon MK.Naso-orbito-ethmoidal (NOE) fractures:A review[J].Inter Ophthalmol Clin,2013,53(4):149-155.
[11] Kelley P,Crawford M,Higuera S,et al.Two hundred ninety-four consecutive facial fractures in an urban trauma center:lessons learned[J].Plast Reconstr Surg,2005,116(3):e42-e49.
[12] Chapman VM,Fenton LZ,Gao D,et al.Facial fractures in children:unique patterns of injury observed by computed tomography [J].J Comput Assist Tomogr,2009,33(1):70-72.
[13] Markowitz BL,Manson PN,Sargent L,et al.Management of the medial canthal tendon in nasoeithmoid orbital fractures:the importance of the central fragment in classification and treatment[J].Plast Reconstr Surg,1991,87(5):843-853.
[14] 李莹,陈东,王珮华,等.鼻眶筛骨折开放复位手术的客观疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2018,26(5):337-340.Li Y,Chen D,Wang PH,et al.Objective effect analysis of open reduction operation for naso-orbital-ethmoid fracture[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2018,26(5):337-340.
[15] Lübbers HT,Jacobsen C,Matthews F,et al.Surgical navigation in craniomaxillofacial surgery:expensive toy or useful tool?A classification of different indications[J].J Oral Maxillofacial Surg,2011,69(1) :300-308.
[16] Wei JJ,Tang ZL,Liu L,et al.The management of naso-orbitalethmoid (NOE) fractures [J].Chin J Traumatol,2015,18(5):296-301.
[17] Papadopoulos H,Salib NK.Management of naso-orbital-ethmoidal fractures[J].Oral Maxillofacial Surg Clin North Am,2009,21(2):221-225.
[18] 程学仕,黄学勤.鼻眶筛骨折的手术治疗[J].中国耳鼻咽喉颅底外科杂志,2015,21(3):242-244.Chen XS,Huang XQ.Surgical treatment of naso-orbital-ethmoid fracture[J].Chinese Journal of Otorhinolaryngology-Skull Base Surgery,2015,21(3):242-244.
[19] Sedwick JD,Lopez AB,Gajewski BJ,et al.Caudal septoplasty for treatment of septal deviation:aesthetic and functional correction of the nasal base[J].Arch Facial Plast Surg,2005,7(3):158-162.
[20] Foda HM.The caudal septum replacement graft[J].Arch Facial Plast Surg,2008,10(3):152-157.
[21] Cobo R.Correction of dorsal abnormalities in revision rhinoplasty[J].Facial Plast Surg,2008,24(3):327-338.
[22] Elwany S,Thabet H.Obstruction of the nasal valve[J].J Laryngol Otol,1996,110(3):221-224.
[23] Constantian MB,Clardy RB.The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty[J].Plast Reconstr Surg,1996,98(1):38-58.
[24] Maurice MM,Jen A,Honrado C.Nasal valve reconstruction:experience in 53 consecutive patients[J].Arch Facial Plast Surg,2004,6(3):167-171.
[25] Goode RL.Surgery of the incompetent nasal valve[J].Laryngoscope,1985,95(8):546-555.
[26] Schlosser RJ,Park SS.Surgery for the dysfunctional nasal valve.Cadaveric analysis and clinical outcomes[J].Arch Facial Plast Surg,1999,1(2):105-110.
[27] Sheen JH.Spreader graft:a method of reconstructing the roof of the middle nasal vault following rhinoplasty[J].Plast Reconstr Surg,1984,73(2):230-239.
[28] Teichgraeber JF,Gruber RP,Tanna N.Surgical management of nasal airway obstruction[J].Clin Plast Surg,2016,43(1):41-46.