Abstract:
External nasal deformity is common and can be treated surgically. It often occurs in conjunction with the development of the nasal septal cartilage, vomer, and vertical plate of the ethmoid bone but may be caused by trauma. Here, we present a case of external nasal deformity caused by trauma. A woman presented with nasal obstruction due to dysfunction of the nasal valve area and was referred to our department for treatment. No chronic rhinosinusitis or nasal septal deviation that causes nasal obstruction was noted at the initial examination. However, trauma-related scarring was observed in the nasal valve area, and a Cottle test yielded positive results. The patient underwent combined rhino- and Z-plasty surgery and is currently undergoing follow-up at an outpatient clinic.Although otolaryngologists generally use an endonasal approach to treat nasal obstruction, it is important to perform an appropriate evaluation of the external nose and to collaborate with a plastic surgeon, as necessary.
摘要:
外鼻畸形很常见,可手术治疗。它通常与鼻中隔软骨的发育一起发生,vomer,和筛骨的垂直板,但可能是由外伤引起的。这里,我们介绍一例外伤引起的外鼻畸形。一名妇女由于鼻瓣区域功能障碍而出现鼻塞,并被转诊至我们部门接受治疗。初次检查时未发现慢性鼻-鼻窦炎或鼻中隔偏曲导致鼻塞。然而,在鼻瓣区域观察到创伤相关的疤痕,Cottle测试产生了积极的结果。该患者接受了鼻-和Z-整形联合手术,目前正在门诊接受随访。尽管耳鼻喉科医师通常使用鼻内途径治疗鼻塞,重要的是要对外部鼻子进行适当的评估,并与整形外科医生合作,如有必要。