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目的探讨采用带蒂鼻底粘骨膜瓣加自体中鼻甲粘骨膜片修补鼻中隔较大穿孔的疗效。方法分离鼻中隔一侧穿孔周围的粘软骨膜及骨膜,切取自体中鼻甲粘骨膜片,用自体中鼻甲粘骨膜片覆盖一侧鼻中隔穿孔。再分离鼻中隔对侧穿孔周围的粘软骨膜及骨膜,制备带基蒂的鼻底粘骨膜瓣,将带蒂鼻底粘骨膜瓣向后、上旋转,覆盖鼻中隔穿孔。结果13例鼻中隔穿孔均一期愈合,双侧鼻腔通气良好,鼻部症状完全消失。随访6~36个月,鼻中隔未见再穿孔。结论采用自体带蒂鼻腔底粘骨膜瓣加自体中鼻甲粘骨膜片修补鼻中隔较大穿孔,取材方便,无需再作切口,成功率高。值得推广。
Objective To investigate the effect of using the pedicled nasal mucoperiosteal flap plus self-middle turbinate mucoperiosteal flap to repair the larger perforation of the nasal septum. Methods Periosteal periosteum and periosteum around perforation on the side of nasal septum were isolated and the perichondrial periosteum was excised from the body. The nasal septum perforation was covered with autologous middle turbinate mucoperiosteal membrane. Separate periosteal periosteal mucosa and periosteum around the perforation of the nasal septum to prepare the nasal mucoperiosteal flap with pedicle, the pedicle nasal mucoperiosteal flap back and forth rotation, covering the nasal septum perforation. Results Thirteen cases of nasal septum perforation were cured in one time, bilateral nasal ventilation was good and nasal symptoms disappeared completely. Follow-up 6 to 36 months, no longer perforation of the nasal septum. Conclusions Autologous pedunculated nasal mucoperiosteal flap plus autonomic middle turbinate mucoperiosteal flap is used to repair the larger perforation of nasal septum. It is easy to draw and need no further incision. The successful rate is high. Worth promoting.