鼻

Results (1)The agger cells existed in 99% of the cases, the development of the agger cells in 9～16 years old children, and adult had no difference;(2) The morphology of agger cells differed widely, but its relationship to the anterior border of the middle nasal concha, bulla ethmoidalis and nasolacrimal canal was quite stable;(3) The upward pneumatization of the agger cells was not related to deviation of nasal septum, but closely related to the development of the frontal sinus;(4) The anterior nasosinusitis often influenced the agger cells and might result in hyperosteogeny.

结果 ①绝大多数病例（99%）有鼻丘气房，儿童（9～16岁）鼻丘发育与成人相比无差异性；②鼻丘形态变化很大，但与中鼻甲前端、筛泡和鼻泪管的关系是恒定的；③鼻丘向上气化程度与额窦发育关系密切，鼻中隔偏曲对其发育无明显影响；④前组鼻窦的广泛炎症易波及鼻丘，并可出现鼻丘骨质增厚。

After the biomechanical finite element analysis for the three-dimensional reconstruction model, we find the structure of the deformed nose showes the following characteristics: 1, Nasal septum, nasal columella, lateral feet of nasal alar, lateral nasal dorsum are stress concentrated regions, that is the key mechanical positions of deformed nose; 2, Under the static state, nasal deformation has a very small value of stress distribution, under displacement load status, the deformed nasal has a large value of the stress distribution; 3, Ipsilateral nasal columella are the the key mechanical parts of deformed nasal rectify. And lateral nasal alar is also the most stress concentrated areas.

对于重建后的单侧唇裂鼻畸形鼻部模型进行有限元生物力学研究，发现畸形鼻的力学结构呈现以下特点：1、鼻中隔、鼻小柱、鼻翼外侧脚、鼻背外侧是单侧唇裂鼻畸形应力分布的集中部位，也就是畸形鼻部的力学关键部位；2、在静态状态下，畸形鼻部拥有的应力分布值很小，在位移载荷状态下，形变后的畸形鼻部拥有的较大的应力分布值；3、单侧唇裂鼻畸形整复中，鼻小柱患侧部是畸形整复的力学关键部位，其次就是患侧鼻翼部。

His nose, I feel a little sharp,鼻翅no meat, no malar stay Hu .., upper lip, after there was a trace of damage, I dare not face up to two pairs of ...

他的鼻子高挺，感觉稍为锋利，鼻翅无肉，无颧，留胡。。，上唇有一道破损后的痕迹，两眼对我不敢正视。。。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围，为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础，在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1，下鼻甲根部附着处间距30mm±4.1，中鼻甲根部附着处间距27.9mm±4.3，这是经口—鼻蝶窦入路手术中，对Hardy双瓣鼻窥器张开限制的主要骨性结构，若患者这些径线值明显小于平均值，则可能因为鼻窥器打开不充分而影响手术暴露，当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大，但对于大和巨大垂体瘤必须要有充分的准备，包括评估是否改用其他入路，或先行鼻甲切除再行经蝶手术。

METHODS: Through vestibular and columellar approach, the major alar cartilage and nasalis were repositioned to the normal anatomical positions, the deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle to the anterior nasal spine.

鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口，矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置，离断鼻中隔的异常附着，部分患者去除多余的鼻中隔组织，并将鼻中隔软骨末端可靠固定在正确的位置，与软组织逢合固定，或与前鼻棘等骨性组织缝合固定，同时矫正偏斜的鼻小柱等软组织，通过鼻部软、硬组织的矫正，恢复鼻的正常形态。

We reconstructed the 3-D and virtual endoscopy image about nasal septum, frontal area of the apertura of sphenoidal sinus, sphenopalatine foramen, sphenopalatine artery and sphenoidal sinus use Volume Rendering, Multiplanar Reformation, Virtual Endoscopy and Curved Planar Reformat, and measured and ,about undertaked The nose, nasal septum, sphenopalatine artery, anterior region of the aperture of sphenoidal sinus, sphenopalatine artery and adjacent structures of hypophysial fossa were dissected, observed, measured and analysised the dependency anatomic structure at the same time.

结果： 一、标本解剖 1、鼻孔长径11.32±0.82(10.2~13.2)mm，鼻孔短径7.85±1.21(5.2~9.8)mm。鼻中隔厚度在前、中、后部分别为5.02±0.42(3.8~5.4)mm、5.57±0.47(4.5~6.4)mm、5.55±0.55(4.8~6.4) mm。 2、鼻中隔骨与软骨交界处距前鼻棘21.26±2.47(18.1~27.6)mm，距鼻孔内侧缘中点33.72±3.52(27.1~40.6)mm，距鼻小柱30.12±2.84(26.9~36.8)mm，距蝶窦口下缘38.04±3.49(32.4~45.1)mm，距后鼻孔41.82±3.96(36.9~50.1)mm。四方软骨中部厚度、边缘厚度、前后径、上下径分别为：1.12±0.13(0.92~1.42)mm、1.28±0.24 (0.83~1.67)mm、30.93±4.52(24.9~40.6)mm、29.94±2.14(24.8~34.3)mm。 3、蝶窦口长5.64±0.39(4.92~5.94)mm，宽3.58±0.22(3.10~3.96)mm，距上鼻甲尾部9.5±0.9(8.5~12.1)mm，距上鼻道未端14.5±1.1(12.5~16.4)mm，距中鼻甲尾

The experimental data demonstrated that there was a nasalward directional preference in oath OKN system under both close loop and open loop conditions, and the nasalward OKN gain evoked by stimulation of nasal retina was much higher than that at temporal retina. ms indicates that OKN nasalward preference is mairily derived from the nasal retina, i. e. the direct path1Vay of OKN dominates the indirect pathway in cat's OKN system. The gains of temporalward and nasalward OKN from temporal retina are much less than those of nasalward OKN from nasal retina. It is suggested that the indirect pathway of OKN in the cat only possesses a supplementary function, Which probably plays an important role in temporalward OKN eye-movments in relation to binocular vision.

实验结果显示：高速度刺激的闭环OKN反应及开环OKN反应均对鼻向运动刺激有明显的方向选择性；半侧视网膜刺激时，鼻侧半视网膜的鼻向OKN增益明显高于颞侧半视网膜的鼻向增益，说明猫的OKN眼动反应以跟踪鼻向运动为主，并且这种对鼻向运动刺激的选择性主要来源于鼻侧半视网膜，亦即来源于OKN直接通路；颞侧半视网膜的鼻、颞向眼动增益均明显低于鼻侧半视网膜的鼻向眼动增益，说明猫的OKN系统的间接通路在OKN眼动控制中起辅助作用，并可能主要对颞向OKN眼动起作用从而与双眼视觉功能相关。

Methods 30 cases of nasal soft tissue de fects were reconstructed by different kinds of local flaps according to modified Burget′s nasal subunit. The Rintala flaps were used above the lowest level of low eyelids; at the area between low eyelids and the alar groove, the dorsal def ects were covered by ax-like local flaps and defects on side wall were reconstru cted by flaps rotated from the contralateral wall covered by skin graft; when it was below the highest level of alar groove, nasolabial flaps with subdermal ped ical were applied to nasal tip defection, and nasolabial local flaps to alar def ects, axial nasodorsum flaps supplied by the lateral nasal artery to defects inv olving columellae.

结合Burget鼻部美学分区，将其再分为三个区域，根据分区选用局部或邻位皮瓣修复鼻部各区软组织缺损30例(鼻根部以Rintala鼻额部局部皮瓣推进3例；鼻中段的鼻背部行双侧斧状局部皮瓣旋转3例；鼻侧壁行对侧壁局部皮瓣转移，供区植皮4例；鼻端部以鼻唇沟皮下蒂岛状瓣转移修复鼻尖部7例；鼻唇沟局部皮瓣旋转修复鼻翼部7例；鼻背轴型皮瓣旋转修复鼻小柱6例)。

My baby just born, I used sesame oil dipping fine cotton rubbing her nasal cavity itself, will not damage the nasal mucosa, but also in the鼻屎moisten nostrils, so that was softening鼻屎will own it.

我宝宝刚出生时，我就用细棉签蘸上香油给她擦鼻腔内部，既不会破坏鼻粘膜，又可以滋润鼻孔里的鼻屎，这样，被软化的鼻屎就会自己出来了。

Baby my home fast for two months, and in recent days when infants are always anxious to hear a small nose breathing is not smooth voice, do not want adults rhinitis nose like ventilation, But look at the small nose鼻屎堵着no, he did not look uncomfortable, but after listening to really worry about, I do not know how else, ask experienced mothers, thank you

我家孩子快两个月了，最近几天吃奶着急的时候总是听见小鼻子呼吸有不顺畅的声音，就想大人鼻炎鼻子不通气似的，可是看看小鼻子里也没有鼻屎堵着，他也没有难受的表情，但是听了真担心，不知怎么回事，请教有经验的妈妈们，谢谢啦

What are your goals and strategies for growth?

你的成长目标和策略是什么？

And unto the angel of the church in Sardis write; These things saith he that hath the seven irits of God, and the seven star I know thy works, that thou hast a name that thou livest, and art dead.

3：1 你要写信给撒狄教会的使者，说，那有神的七灵和七星的，说，我知道你的行为，按名你是活的，其实是死的。