Surgery for Nasal Valve Stenosis
スポンサーリンク
概要
- 論文の詳細を見る
Nasal valve is now regarded slit-like opening between the caudal end of the upper lateral cartilage and the septum. Because of wider nasal valve angle than Caucasians, we have fewer chances to experience patients with stenotic nasal valve. However, with careful history taking and Cottle test, we can recognize patients with nasal obstruction due to nasal valve stenosis. They require surgical correction. Surgical intervention was directed toward reconstruction of normal anatomic relationships between upper-and lower lateral cartilage and between the former and septal cartilage. This is usually achieved by widening the nasal valve angle and preventing collapsibility. There are two methods of approach to the nasal valve ; transnostril approach and open rhinoplasty.1) Transnostril approach Retracting the ala by means of the blunt retractor, the lower border of the upper lateral cartilage is identified. Incision of the skin parallet to the lower end of the upper lateral cartilage at lmm distance (intercartilagenous incision). The incision is continued just beyond the angle of the valve. Dissection of the caudal end of the cartilage is performed by elevating the mucoperichondrium with sharp, slightly-curved scissors. A strip of cartilage is resected from the caudal end of the upper lateral cartilage.2) open rhinoplasty approach Notched transcolumellar incision at the level of the midcolumella. This incision is connected to bilateral columellar marginal incisions that is usually placed lmm behind the rim of the columella. By using scissors, the skin overlying the medial crura is dissected. The flap is carefully elevated up from the underlying medial crura. Then the flap is elevated off of the surface of the lower lateral cartilage. Decortication is accomplished with dissection of soft tissue form the region of the anterior septal angle. Caudal margin of the upper lateral cartilage is resected or fixed on the lower lateral cartilage.
- 特定非営利活動法人 日本頭頸部外科学会の論文
特定非営利活動法人 日本頭頸部外科学会 | 論文
- 小児・若年者（19歳以下）甲状腺乳頭癌の3症例
- 小児の鼻副鼻腔炎症の取り扱い
- 急性喉頭蓋炎に続発した披裂部膿瘍例
- 軟素材による外耳道再建型鼓室形成術 : ―20年間の経験と本法における外耳道入口部拡大法―
- 当科における遊離移植による頭頸部再建手術の検討