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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Evaluation of a new procedure for nasal alar rim and valve collapse: nasal alar rim reconstruction.
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Evaluation of a new procedure for nasal alar rim and valve collapse: nasal alar rim reconstruction.

机译:评估鼻翼缘和瓣膜塌陷的新程序:鼻翼缘重建。

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OBJECTIVE: A new operative technique to improve nasal valve collapse by placement of cartilage struts along the alar rim was compared with the standard nasal valve cartilage graft (NVG) technique. Methods And Patients: A retrospective study of consecutive patients with nasal valve collapse was performed at Stanford University Medical Center. Seventy-nine patients with nasal valve collapse underwent reconstruction with either the classic NVG technique or a newly developed nasal alar rim reconstructive (NARR) procedure. The mean age of the NARR group was 50.13 years (SD +/- 9.40), with 36 men (92.3%) and 3 women (7.7%). The mean age of the NVG group was 52. 14 years (SD +/- 10.83), with 36 men (90%) and 4 women (10%).Main Outcome Measures: These included functional and subjective evaluation of nasal valve collapse. RESULTS: Forty patients (50.6%) underwent the NVG technique, and 39 (49.4%) received the NARR procedure. The NVG technique revealed 0% worsened, 15.0% (6/40) unchanged, 25.0% (10/40) improved, and 60% (24/40) free of obstruction. The NARR procedure revealed 2.6% worsened, 2.6% unchanged, 7.7% improved, and 87.1% free of obstruction. CONCLUSIONS: Nasal alar cartilage struts placed along the caudal alar rim offers sufficient support to the alar rim and valve area. This procedure appears to be as effective as currently available reconstructive alternatives, while being technically uncomplicated.
机译:目的:将一种通过沿阿拉尔边缘放置软骨支柱来改善鼻瓣塌陷的新手术技术与标准鼻瓣软骨移植(NVG)技术进行比较。方法和患者:在斯坦福大学医学中心对连续发生的鼻瓣塌陷患者进行回顾性研究。鼻瓣塌陷的79例患者采用经典的NVG技术或新近开发的鼻翼缘缘重建术(NARR)进行了重建。 NARR组的平均年龄为50.13岁(SD +/- 9.40),其中男性36位(92.3%),女性3位(7.7%)。 NVG组的平均年龄为52. 14岁(SD +/- 10.83),其中男36例(90%),女4例(10%)。主要观察指标:包括功能性和主观性的鼻瓣塌陷评估。结果:40例患者(50.6%)接受了NVG技术,39例(49.4%)接受了NARR手术。 NVG技术显示0%恶化,15.0%(6/40)不变,25.0%(10/40)改善和60%(24/40)无阻塞。 NARR程序显示,病情恶化了2.6%,保持不变为2.6%,改善了7.7%,无阻塞的占87.1%。结论:沿尾翼边缘布置的鼻翼软骨支柱可为翼缘和瓣膜区域提供足够的支撑。该程序似乎与当前可用的重建方案一样有效,但在技术上并不复杂。

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