不同类型鼻面部外伤手术疗效分析

目的探讨不同类型鼻面部外伤手术疗效情况。方法根据我科室2002年至2010年85例患者鼻面部外伤,Ⅰ型和Ⅱ型（49例）采用传统方式复位,Ⅲ型和Ⅳ型（36例）型早期鼻内镜联合手术诊治情况,术后随访0.5~8年。结果Ⅰ型和Ⅱ型鼻面部外伤患者有效率为100%,Ⅲ型和Ⅳ型鼻面部外伤患者早期鼻内镜联合手术,有效率为91.67%。结论Ⅰ型和Ⅱ型传统手术及Ⅲ型和Ⅳ型早期联合手术使大多数鼻锥外形整复与鼻腔功能重建达到满意效果,避免了Ⅲ型和Ⅳ型患者二期手术。

Analysis of Surgical Treatment of Different Types of Nasal Facial Trauma.

Objective To discuss surgical treatment of different types of nasal facial trauma. Methods 85 patients of nasal facial trauma, according to my department in 2002 -2010, type Ⅰ and type Ⅱ （49cases）using traditional methods reset, type Ⅲ and type Ⅳ （36 cases）diagnosis and treatment of early endoscopy combined with nasal surgery, postoperative follow-up of 0. 5 -8 years. Results Patients＇ effective rate with type Ⅰ and type Ⅱ nasal facial trauma is 100% , type Ⅲ and type Ⅳ facial trauma patients with Nasal Endoscopy combined with nasal surgery, effective rate is 91.67%. Conclusion Type Ⅰ and type Ⅱ traditional surgery and type Ⅲ and Ⅳ in the early joint surgery can do nose cone shape restoration and reconstruction of the nasal cavity to achieve a satisfactory outcome, and avoid the second-stage surgery in patients with type Ⅲ and type Ⅳ.