萎缩性鼻炎(AR)的治疗方法颇多,虽说尚无十分满意者,但还是不断得到了改进。为给临床提供参考,本文对AR的治疗情况作一概述。 鼻腔外侧壁内移加固定术 此手术早有报道,虽能起到缩小鼻腔的作用,但往往由于创伤大,反应重,特别是固定上的欠缺,影响疗效,因此未能推广应用。黄选兆采用白合金片或有机玻璃片为固定物(克服了固定上的缺点)治疗AR32例(51侧),其中6例(8 侧)因下鼻甲萎缩严重,同时经唇龈粘膜切口于鼻中隔粘软骨膜及鼻底粘骨膜下埋植软塑料片或硅胶海绵等,收效较满意。术后随访5～15年以上,有效率达88.24％,其中显效占60.79％。本手术一般可使鼻腔外壁内移 Atrophic rhinitis (AR) treatment of many, although not yet very satisfied, but still continue to be improved. To provide a reference for the clinical, this article gives an overview of the treatment of AR. Nasal lateral wall fixation and fixation surgery has long been reported, although can play a role in reducing the nasal cavity, but often due to trauma, heavy reaction, especially the lack of fixed, affecting the curative effect, therefore, failed to promote the application. Huang Xuanzhao white alloy sheet or plexiglass piece for the fixed object (to overcome the fixed shortcomings) treatment of AR32 cases (51 sides), of which 6 cases (8 sides) due to inferior turbinate atrophy, while the gingival mucosa incision in the nasal septum adhesion Perichondrium and nasal mucoperiosteal implantation of soft plastic sheet or silicone sponge, more satisfactory results. After 5 to 15 years of follow-up, the effective rate was 88.24%, of which 60.79% was effective. The surgery can generally move the outer wall of the nasal cavity