개방성 접근법에 의한 전단부 비중격 만곡증의 치료

강제구; 문준환; 최호영; 류재영; 이등호; 전성환

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자료유형: 학술저널

저자정보: 강제구 문준환 최호영 류재영 이등호 전성환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제5호

발행연도: 2005.1

수록면: 624 - 629 (6page)

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연구주제

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연구배경

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연구방법

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Background and Objectives：Caudal septal deformities are surgically challenging disorders. A number of corrective programs have been described with variable success. Causes of frequent failure in correction of the caudal deformities have been conservatism and unrealistic dependence on incisional method such as cross hatching, and limited comprehension of the extrinsic and intrinsic forces causing caudal deformities. We reviewed and evaluated the surgical techniques for correction of the caudal septal deformities performed at our institution. Subjects and Method：A retrospective study was performed on 24 patients who underwent septal surgeries for severe caudal septal deformities between Feb 2001 to May 2004. With open approach, all deforming forces around the caudal septum were released and definite intraoperative correction was possible. Results：All 24 patients showed definite improvement in terms of functional and anesthetic outcomes. Potential complications related with structural instability as well as other inherent complications of nasal surgery have not been encountered. Conclusion：For successful correction of the caudal septal deformities, completed exposure and releasing all the extrinsic forces around the caudal deformities via open rhinoplasty approach is desirable to avoid frequent recurrences.

#비중격만곡증·비중격성형술·비성형술. #Nasal septal deviation·Septoplasty·Rhinoplasty.

참고문헌 (18)

참고문헌 신청

Converse JM / 1977 / Corrective and reconstructive surgery of the nose 2 : 1040 ~ 163

Dhong HJ / 2000 / Total septal cartilage reconstruction in the severely deviated nose 7 : 57 ~ 63

Dingman RO / 1956 / Correction of nasal deformities due to defects of the septum 18 : 291 ~ 304

Duer WK / 2000 / Correction of severe caudal defiections with a cartilage : 973 ~ 8

Dupont C / 1966 / Autogenous vomer bone graft for permanent correction of the cartilaginous septal deviations 38 : 243 ~ 7

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