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对鼻畸形的矫冶,采用开放式鼻成形术比鼻内进路为优越。其主要优点是术野清楚,便于双手协同操作,能准确矫正畸形,必要时还可使用电钻。对鼻尖整形及支架修复也较满意,而且有利于教学。手术不需切断鼻翼软骨,可保留鼻瓣膜(nasal valves)作用。手术有广泛的适应症,可适用于复合性鼻及/或鼻中隔骨折,各种先天性或后天性鼻及/或鼻中隔畸形;对一些非成形性鼻内手术如鼻背肿瘤切除及作为蝶窦和鼻中隔穿孔修补术的进路,亦可应用本手术切口得到解决。手术方法主要采用Goodman的鼻小柱改良切口进路,先在鼻小柱中部作倒V形切口,扪清鼻翼软骨尾部
The correction of nasal deformity, the use of open nasal approach is superior to intranasal approach. Its main advantage is a clear surgical field, easy to operate with both hands, can correct orthodontics, if necessary, can also use the electric drill. On the nose tip and stent repair is also more satisfactory, but also conducive to teaching. Surgery without the need to cut off the alar cartilage, can retain nasal valves (nasal valves) role. Surgery has a wide range of indications, can be applied to the composite nasal and / or nasal septum fracture, a variety of congenital or acquired nasal and / or nasal septum deformity; for some non-invasive intranasal surgery such as nasal dorsal tumor resection and as sphenoid sinus And nasal septum perforation repair approach, can also be applied to the surgical incision be resolved. Surgical methods mainly use Goodman’s nasal column improved incision approach, first in the middle of the columella for inverted V-shaped incision, palpable atrial cartilage tail