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Functional, optimal technique for fixing the external nose and nasal septum

机译：实用的固定鼻外鼻中隔的最佳技术

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FIELD: medicine.SUBSTANCE: manual or instrumental reposition of bones, external nose cartilage and nasal septum is performed. At that, a nasal mirror is introduced into the nasal cavity, stainless steel cerclage wire needles 1 mm in diameter are used, which are introduced percutaneously after final repositioning of bone fragments. The first needle is introduced into the back of the nose, at 10 mm and 4 mm distance from the frontonasal suture, outwards from the internasal suture in the sagittal plane, the needle in the frontal plane is introduced parallel to the outer wall of the nasal cavity, so that the side nasal wall was lateral, and the outer surface of the nasal mirror lateral sponge was medial, the needle is passed through the inferior turbinate 4 mm short to the rear edge of the hard palate. Then the second needle is introduce, retreating 10 mm downwards, parallel to the first needle. The third needle is introduced 10 mm below the second one, parallel in the frontal plane, and in the direction of the upper jaw sixth tooth crown in the sagittal plane. The fourth needle is introduced parallel to the third one, but 10 mm below. The fifth needle is introduced, at 2 mm distance outwards from the internasal suture, parallel to the first needle in the sagittal plane, and parallel to the nasal septum in the frontal plane, so that the nasal mirror medial sponge outer wall was lateral. The sixth needle is introduced in the frontal plane as the fifth needle, and in the sagittal plane - parallel to the second needle. Then the seventh needle is introduced parallel to the sixth needle in the frontal plane and parallel to the third needle in the sagittal plane. The eighth needle is introduced parallel to the seventh needle in the frontal plane and parallel to the fourth needle in the sagittal plane. The outer ends of needles are bent over the integuments at a distance of 10 mm, needle excess is removed, leaving up to 2 mm of a needle to lock the monoblock. A similar operation is carried out on the second side of the nose. After the repeated final repositioning of bone fragments, a monoblock made from self-hardening plastic is imposed on the bent ends of needles. If a repeated delayed bone fragments repositioning is required, the monomlock is destroyed after anesthesia, bone fragments are repositionied to their correct position, and then a monoblock is imposed again.EFFECT: method is simple and low-traumatic, allows redressing during treatment without needles removal.2 cl, 3 dwg
机译：领域：药物。物质：手动或器械复位骨头，外鼻软骨和鼻中隔。那时，将鼻镜插入鼻腔，使用直径为1mm的不锈钢环扎线针，在最终重新定位骨碎片后经皮引入。将第一个针头插入鼻后部，距鼻前缝线10 mm和4 mm的距离，从矢状缝线在矢状平面向外延伸，在额叶面的针头平行于鼻外壁导入鼻腔侧面，鼻镜侧面海绵的外表面位于内侧，针头穿过下鼻甲4 mm，短至硬pa的后边缘。然后插入第二根针，平行于第一根针向后退10 mm。第三个针在第二个针的下方10毫米处插入，该针在前平面中平行，并在矢状平面中的上颌第六齿冠的方向上。第四根针平行于第三根针插入，但在下方10毫米处。从鼻间缝合线向外2毫米的距离处插入第五根针，平行于矢状面中的第一根针，并平行于额叶面中的鼻中隔，从而使鼻镜内侧海绵外壁位于外侧。第六针与第五针一样在前平面中引入，并在矢状面中与第二针平行。然后，在前平面中平行于第六针并在矢状面中平行于第三针引入第七针。第八针在前平面中平行于第七针并在矢状面中平行于第四针引入。针的外端以10 mm的距离弯曲在整个外皮上，去除多余的针，留出最多2 mm的针以锁定整体。在鼻子的第二侧进行类似的操作。在重复最后一次重新定位骨碎片之后，将由自硬化塑料制成的整体块施加到针的弯曲端。如果需要重复延迟的骨碎片重新定位，则在麻醉后破坏单锁骨，将骨碎片重新定位到正确的位置，然后再次施加单块。效果：方法简单且创伤小，无需针就可在治疗期间进行矫正清除2 cl，3 dwg

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