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下鼻甲肥大导致慢性鼻阻塞时,传统认为过多切除下甲可影响鼻的正常生理功能,近却见有采用全下鼻甲切除术治疗的报导。作者们于1977年至1982年对40例病人进行了全下鼻甲切除术(切除78侧)。18例(36侧)经3～5年随访结果如下:18例中仅2例(11%)鼻阻塞症状缓解,通气改善;余16例(89%)皆诉鼻内干燥、结痂,需每天清洁、冲洗鼻腔。其中12例检查诊为萎缩性鼻炎,4例为臭鼻症,1例已发生鼻中隔穿孔。作者们以大量篇幅,根据鼻腔的解剖与生理功能,分析指出:全下鼻甲切除术后破坏了正常
Lower turbinate hypertrophy lead to chronic nasal obstruction, the traditional view that excessive resection of the A can affect the normal physiological function of the nose, but have seen the use of the whole lower turbinate resection treatment reports. The authors performed total under-turbinate resection (resection of 78 sides) of 40 patients between 1977 and 1982. The follow-up results of 18 cases (36 sides) after 3 to 5 years were as follows: only 2 of 18 cases (11%) had relieved nasal obstruction and ventilation improved; the remaining 16 cases (89%) complained of intranasal dryness and crusting. Clean daily, wash nasal cavity. Among them, 12 cases were diagnosed as atrophic rhinitis, 4 cases were stench of nose, and 1 case had nasal septum perforation. The authors, in large volumes, analyzed the anatomy and physiology of the nasal cavity, pointing out that the destruction of the normal whole turbinatectomy