Reducing local tension to repair nasal septal deviation and spur

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology Pub Date : 2024-07-08 DOI:10.1016/j.bjorl.2024.101464

Qihang Lin , Xi Lin

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引用次数: 0

Abstract

Objectives

To introduce our method managing nasal septal spurs during endoscopic septoplasty.

Methods

We conducted a prospective study of cases treated with endoscopic septoplasty between March 2022 and June 2023. We innovated a surgical method to reduce the local mucosal tension at the spur by cutting the spur above and below the bony connection, and reducing the chance of mucosal tear and loss during dissection. The authors performed these cases at the First Affiliated Hospital of Fujian Medical University, where 40 surgeries were performed with regular postoperative follow-ups for 6–12 months.

Results

All patients' clinical symptoms improved significantly after surgery. After 2–4 weeks of follow-up, the mucosa could recover to the preoperative state on both sides of the nasal septum.

Conclusion

This surgical method is suitable for most patients with nasal septal deviation, especially those with a spur, which can effectively reduce the chance of nasal septal mucosa tear and accelerate postoperative recovery.

Level of evidence

Ⅳ.

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降低局部张力，修复鼻中隔偏曲和骨刺

方法我们对 2022 年 3 月至 2023 年 6 月期间接受内窥镜鼻中隔成形术治疗的病例进行了前瞻性研究。我们创新了一种手术方法，通过在骨连接处的上方和下方切断骨刺，降低骨刺处粘膜的局部张力，减少剥离时粘膜撕裂和脱落的机会。作者在福建医科大学附属第一医院实施了这些病例，共进行了 40 例手术，术后定期随访 6-12 个月。结论该手术方法适用于大多数鼻中隔偏曲患者，尤其是有鼻中隔骨刺的患者，可有效减少鼻中隔粘膜撕裂的几率，加快术后恢复。

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来源期刊

Brazilian Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

205

审稿时长

4-8 weeks

期刊介绍： Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.