Résumé
Packing the nose after septoplasty is common practice. The use of postoperative packing has been proposed to reduce the dead space between the subperichondrial flaps and minimize postoperative complications such as hemorrhage, septal hematoma, and formation of synechiae. Additionally, postoperative packing is thought to stabilize the remaining cartilaginous septum and minimize persistence or recurrence of septal deviation. Despite these theoretic advantages, evidence to support the use of postoperative packing is lacking. Additionally, nasal packing is not an innocuous procedure. The use of nasal packing actually cause these complications such as postop- erative pain, mucosal injury, bleeding, worsening of breathing due to sleep disorders, and postoperative infections. Routine use of anterior nasal packing after septoplasty should be challenged for not presenting proven benefit. As alternatives to traditional packing, septal suturing, septal stapler and fibrin glue have been used recently. The purpose of this article is to summarize the progress of traditional packing to no packing after septoplasty.
Sujets)
Humains , Bandages , Épistaxis , Cartilages du nez , Chirurgie générale , Septum nasal , Malformations , Chirurgie générale , Douleur postopératoire , Complications postopératoires , Période postopératoire , Rhinoplastie , Méthodes , Lambeaux chirurgicaux , Matériaux de suture , Tampons chirurgicauxRésumé
To analysis the data of 2 patients who had nasal metal foreign bodies after the pressure cooker explosion, the main clinical symptoms include head facial swelling after trauma, nose bleeding, or vision loss, etc. Specialized examination: facial swelling, the left eye content of one patient has been removed, the other patient's right side of the nasal dorsal skin was missing, which diameter was about 1.5 cm, and nasal cavity was interlinked. We could see that metal foreign bodies blocked the bilateral nasal cavity of the two patients. And emergency CT examination showed that most of the nasal cavity reserved for high-density foreign body. Two patients were diagnosed: (1) metal foreign bodies after nasal trauma; (2) nose bleeding.
Sujets)
Adulte , Humains , Cécité , Épistaxis , Lésions traumatiques de la face , Corps étrangers , Diagnostic , Tête , Métaux , Fosse nasale , Anatomopathologie , Blessures professionnelles , AnatomopathologieRésumé
OBJECTIVE@#To investigate the clinical efficacy of revision surgery of nasal septum with reformed incision under nasal endoscope.@*METHOD@#Thirty-seven patients with failed septoplasty were carried out revision surgery of nasal septum with reformed incision.@*RESULT@#Revision surgery of nasal septum with reformed incision was successful in all cases. The symptoms resulting from the nasal septal deviation disappeared or significantly relieved. Following successful revision surgery, the treatment outcomes of concomitant nasal and/or sinusal diseases also significantly improved.@*CONCLUSION@#The adhesive fibrous tissue in septal mucosa were successively separated in patients with revision surgery of nasal septum with reformed incision under nasal endoscope. Revision surgery of nasal septum with reformed incision was easily and safely, and with fewer complications.