ENDOSCOPIC NASOFRONTAL DISJUNCTION

被引:7
作者
KOBAYASHI, S
SAKAI, Y
OHMORI, K
机构
[1] Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, Tokyo
关键词
ENDOSCOPE; NASOFRONTAL DISJUNCTION; DETACHABLE INSTRUMENT; MICROPORT;
D O I
10.1097/00001665-199511000-00020
中图分类号
R61 [外科手术学];
学科分类号
摘要
Disjunction of the nasofrontal junction was performed under endoscopic control in three patients who underwent a monoblock nasal framework osteotomy and two patients who underwent a modified Le Fort type II osteotomy through a small midscalp incision, a stub wound at the root of the nose, and an intercartilaginous incision. A bilateral intercartilaginous incision and nasal root stub wound were used in one case. An osteotomy of the nasal root was performed using a specially designed detachable osteotome consisting of a thin staff and large handle. The end of the staff was inserted through the access incision and pulled through a stub wound created in the nasal root. The staff was then attached to the handle, and the osteotomy was performed under endoscopic control. This approach minimizes the surgical scar, the area of the subperiosteal dissection, and postoperative swelling of the face, in comparison with the coronal approach.
引用
收藏
页码:510 / 515
页数:6
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