Method for correcting combined deformations of external nose due to oral-vestibular operative access

FIELD: medicine, surgery.

SUBSTANCE: the method is applied for the purpose to correct combined deformations of external nose due to oral-vestibular operative access. The method deals with dissecting mucosal membrane and periosteum in oral vestibule followed by separating soft tissues of the upper lip. Then one should perform internal incision along the edge of alar cartilages to connect two incisions together. Then comes final tissue separation at subsequent correction of the shape, size of external nose structures and its septum. The method enables to achieve wide access to all the structures of external nose and provide optimal cosmetic result.

EFFECT: higher efficiency of correction.

4 dwg

 

The invention relates to medicine, namely to surgery, and can be used for correction of the combined deformation of the external nose.

Existing surgical methods for the correction of deformed external nose are from external or endonasal approaches.

As well known endonasal surgical access, which is carried out on the edge krylnyh cartilage [Clinical operative oral and maxillofacial surgery. Edited Wenbley., St. Petersburg: Special literature. 1998, s-311]. Its disadvantages are defective visual inspection of the wound in patients with combined deformation of the external nose.

For the correction of complex combined deformation of the external nose is more often used external accesses, which carry in the field of percutaneous columella or tip of the nose [Atlas of operative otorhinolaryngology. Edited by Prof. Usepagov. - Moscow: Medicine, 1983, p.27]. This access allows you to adjust the shape of the structures of the external nose under visual control. However, the lack of outdoor access is not large enough for the correction of complex combined deformation of the external nose, its invasiveness, and cosmetic defect on the face.

The aim of the proposed method is the correction of the combined deformation of the external nose.

The uke is this goal is achieved by correction of the deformed structures of the nose of the oral-predgornogo online access.

The essence of the proposed method is that the correction method of the combined deformation of the external nose oral-predgornym online access, including incision and separation of tissues in anticipation of the mouth, supplemented by internal incision along the edge krylnyh cartilage allows wide access to all the structures of the external nose and provide optimal cosmetic result.

The method is as follows.

After infiltration anaesthesia and hydraulic ofseparate 1% solution of novocaine soft tissues, Nadirashvili, the periosteum of the external nose, Nadirashvili septum of the nose, the transition folds gums and lips make a cut in the vestibule of mouth from canine to canine tooth of the upper jaw, above the transition fold at 5 mm and Then produce the detachment of the soft tissues of the upper lip to the lower edge of the bone part of the bottom of the nasal cavity (figure 1). Then do a cut on the edge krylnyh cartilage, with subsequent exposure of the lateral and medial his legs (figure 2). Connect two previously made incision (figure 3). Through the generated access carry out the separation of soft tissue together with nadgradnja and periosteum from krylnyh cartilage, the lateral cartilages of the nose, the nasal bone edges of the pyriform aperture and divert them up (figure 4). This provides an unobstructed view of all structure is R, involved in the formation of the external nose and septum, allowing to adjust their shape and size without damaging the skin. Then the soft tissue is placed on the bone and cartilage framework of the external nose and layers are sutured wound on the eve of his mouth.

Thus, the correction method of the combined deformation of the external nose oral-predgornym online access allows you to achieve high-quality correction of combined deformation of the external nose, while ensuring optimal cosmetic effect.

The correction method of the combined deformation of the external nose oral-predgornym online access, characterized in that an incision of the mucous membrane and periosteum on the eve of the mouth, separating the soft tissues of the upper lip, and then perform an internal incision along the edge krylnyh cartilage, and then produce a connection between the two sections, the final separation of the tissues with subsequent correction of the shape, size structures of the external nose and septum.



 

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