Septoplasty Rational surgery of the nasal septum
Septoplasty Rational surgery of the nasal septum
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鼻中隔成形术 鼻中隔的合理手术
DOI：
10.1017/s0022215100081172
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发表时间：
1975
影响因子：
1.7
通讯作者：
N. Edwards
中科院分区：
文献类型：
--
作者：
N. Edwards
粘膜下切除术（S.M.R.）归因于Killian的手术仍然被广泛地教导为阻塞性间隔畸形的标准手术治疗，在许多常见的临床情况下具有严重的缺陷。其原因是批判性地讨论在光的外科解剖和生理的鼻子作为一个整体。鼻中隔成形术经过半个世纪的发展，其原则是合理、保守、灵活的。并对鼻中隔成形术的原则和适应证进行了讨论。作者所使用的基本鼻中隔成形术的实际细节，连同所有的变化和扩展可能尽可能一个完整的鼻中隔鼻成形术描述。强调了准确评估整个鼻腔问题和精确纠正所有原发性和继发性阻塞因素的重要性。
The Submucous Resection (S.M.R.) operation ascribed to Killian, still widely taught as the standard surgical treatment of obstructive septal deformities, has serious deficiencies in many common clinical situations. The reasons for this are critically discussed in the light of the surgical anatomy and physiology of the nose as a whole. The rational, conservative and versatile principle of septoplasty has evolved over half a century, until today the author considers that it should largely supersed the old S.M.R. The principles and the indications for septoplasty are discussed. The basic septoplasty procedure used by the author is described with practical details, together with all the variations and extensions possible as far as a complete septo-rhinoplasty. The importance is stressed of accurate assessment of the whole nasal problem and precise correction of all primary and secondary obstructive factors.