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目的:探讨采用以鼻腔底后端为基蒂的黏骨膜瓣旋转修补鼻中隔穿孔的疗效。方法:用类似鼻中隔黏膜下矫正术的方法分离鼻中隔穿孔周边的黏软骨膜及骨膜,并向下连接左鼻腔底后端为基蒂的黏骨膜瓣,将黏骨膜瓣向后上旋转,覆盖并缝合于穿孔周边的黏软骨膜及骨膜袋内。结果:11例鼻中隔穿孔修补患者均一期愈合,修补成功。结论:采用自体带蒂鼻腔底黏骨膜瓣修补鼻中隔穿孔,取材方便;无排斥反应;带蒂黏骨膜瓣血供良好,成活率高;鼻腔底部黏骨膜面积宽而长,修补较大穿孔时,可根据穿孔的大小和形状,提供足够的移植材料。
Objective: To investigate the effect of repairing nasal septal perforation by rotating the mucoperiosteal flap pedicle with the base of the nasal floor behind. Methods: A mucosal periosteum and periosteum around the perforation of the nasal septum were isolated by a method similar to nasal septum submucosal correction. The mucoperiosteal flap of the left end of the nasal cavity was connected to the base of the left nasal cavity. The mucoperiosteal flap was revolved upward and covered Sutured perforation perianal periosteal and periosteal pocket. Results: 11 cases of nasal septal perforation repair were healed, the successful repair. Conclusion: Autologous pedicle nasal mucoperiosteal flap to repair nasal septum perforation, easy access; no rejection; pedicle periosteal flap blood supply is good, high survival rate; nasal mucosa at the bottom of the wide and long, repair larger perforation, According to the size and shape of the perforation to provide sufficient graft material.