论文部分内容阅读
作者们综合各型鼻中隔穿孔手术方法和原则,发展了本文介绍的鼻中隔穿孔修补术。鼻中隔修补取得成功的基本原则是;(1)保证皮瓣供血良好;(2)手术野暴露清楚,易于操作;(3)缝线应固定于间皮组织内,利于皮瓣存活;(4)用厚骨膜瓣修补比薄的软骨膜瓣为坚固。鼻中隔大穿孔修补方法:手术在全麻下进行,鼻内和口内唇龈沟处加用10%可卡因4ml表面麻醉和1%利多卡因加1∶100,000肾上腺素局部浸润麻醉。沿唇龈沟作切口,直至骨膜。用骨膜刮离子由内侧向外分离骨膜至梨状窝达犬齿窝。用拉钩拉开上唇和鼻粘膜,暴露梨状窝。用一垂直刀由唇下径路进入,沿中隔后缘作切口,
The authors combined various types of nasal septum perforation surgery methods and principles, the development of this article describes the nasal septum perforation repair. Nasal septal repair success is the basic principle; (1) to ensure a good flap blood supply; (2) surgical field exposure is clear and easy to operate; (3) suture should be fixed in the mesothelial tissue, which will help flap survival; (4) With thick periosteal flap repair than the thin perichondrial flap is solid. Nasal septal large perforation repair method: surgery under general anesthesia, intranasal and oral lip gully plus 10% cocaine 4ml surface anesthesia and 1% lidocaine plus 1: 100,000 epinephrine local anesthesia. Cut along the gingival sulcus until the periosteum. Scratch ion with the periosteum from the medial lateral separation of the periosteum to pear fossa nest canine fossa. Pull the upper lip and nasal mucosa with the hook to expose the piriform fossa. With a vertical knife from the path under the lip into the incision along the posterior edge of the septum,