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鼻甲

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Some choanal polyp derive from concha nasalis media, endoscopic sinus surgery is a good method for treatment.

部分鼻后孔息肉发源于中鼻甲,鼻内窥镜手术是治疗的较好方法。

Methods\ The size and shape of conchae, nasal meatuses and the structures of the lateral wall in middle nasal meatus were observed and measured on 67 sides of the sagittal head specimens and the distances from anterior nasal spine to other anatomic parts were also measured.

方法选用67侧正中矢状切的头部标本,观测各鼻甲、鼻道及中鼻道外侧壁结构的形态和大小,并测量前鼻棘至各解剖部位的距离。

Methods: Among these 32 patients with narrow nasal valve,10 were operated with anterior inferior turbinectomy,4 with deviation orthopedic of protruding trian gular outer cartilage (2 on the left,2 on both sides),6 with bone-widen operation of osseous pyriform aperture(2 on the left,4 on both sides).The nasal ventilation before and after operation was observed.

32例鼻瓣膜区狭窄患者,行下鼻甲前端切除术10例,鼻外侧软骨凸出矫正术4例(左侧2例、双侧2例),骨性梨状孔狭窄扩大术6例(左侧2例、双侧4例),观察手术前后鼻通气改善情况以判定疗效。

The potential prognostic factors (nasal obstruction, cross-sectional area of nasal cavity, rhinosinusitis severity, preoperative olfactory loss, nasal polyps, allergic rhinitis, concurrent septoplasty and turbinal surgery, postoperative steroid treatment) for improvement in olfaction after FESS were also evaluated in these patients.

手术六个月后,这些病患的嗅觉功能再用同样方法来评估,同时分析可能的预后因子〈鼻塞、鼻腔截面积、鼻及鼻窦炎严重度、术前嗅觉丧失程度、鼻息肉、过敏性鼻炎、附带鼻中膈鼻甲手术、术后类固醇治疗〉对术后嗅觉功能改变的影响。

Result:Postoperatively,nasal obstruction of ten patients with 13 noses was eliminated,headache and hyposmia were eliminated or remis...

结果 :10例、13鼻治疗后鼻塞症状消除,头痛、嗅觉减退症状消除或明显改善,中鼻甲与鼻中隔间距明显扩大。

At present, these complications were thought by many scholars to be related to maloperation, lesion or anatomy variation of middle nasal turbinate, infections and the degree of lesion and so on (1, 2), while the injuries of nasal mucosa induced by light and heat in transnasal endoscopic sinus surgery were neglected, thus we observed these injuries through animal experiments.

目前,多认为这些并发症与手术操作不当、中鼻甲有病变或解剖变异、感染性病变以及病变程度严重等有关,忽视了鼻内镜术中光和热对鼻粘膜的影响,我们通过动物实验,取不同光照时间的兔的鼻中隔粘膜制作扫描电镜和透射电镜标本,对此进行了观察。

Methods: Fifteen (30 sides) formalin-preserved human skulls were subjected to microsurgical dissection to evaluate the exposure scopes of 3 different endoscopic surgery approaches: endonasal middle meatal transpalatine approach, endonasal middle meatal transantral approach, and endonasal inferior turbinectomy transantral approach.

用手术显微镜对15具成人头颅标本按照鼻内镜下中鼻道经腭进路,中鼻道经上颌窦进路和中鼻甲切除进路要求进行显微解剖,观察不同手术进路暴露翼腭窝的范围。

Methods: The peak flow of septoplasty and partial turbinectomy pre-and post-operation was measured using Mini Wright peak flow meter.

应用微型峰值鼻呼吸流量仪分别测定行鼻中隔矫正术和下鼻甲部分切除术患者的峰值鼻呼吸流量。

From 2003 to 2004,83 patients(166 sides) with nasal septum deviation were treated in our hospital,including 38 receiving submucous resection of nasal septum and 45 receiving submucous resection of nasal septum plus unilateral or bilateral partial inferior turbinectomy(SRNS+U/B PIT).

2003~2004年83例(166侧)鼻中隔偏曲男性患者在我院接受手术治疗,其中接受鼻中隔黏膜下切除术者38例,接受鼻中隔黏膜下切除加单或双侧下鼻甲部分切除术者45例。

In general, more limited approaches to turbinoplasty should be performed because complete turbinectomy may put the patient at increased risk for developing atrophic rhinitis postoperatively.

一般而言应只进行部分下鼻甲整形,因为鼻甲完全切除会增加病人术后发展为萎缩性鼻炎的风险。

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