The external nasal approach adopts a U-shaped incision of nasal columella, extending to the front of alar cartilage on both sides, and then separating subcutaneous tissue upwards. This incision has good exposure.
The incision of intranasal approach is on the upper edge of alar cartilage of bilateral nasal vestibule, cut into an arc, and passes through the front edge of septal cartilage, so that the two incisions are combined into one. After the incision is completed, the subcutaneous tissue can be widely separated upward, exposing the pear-shaped hole and the soft tissue inside the nose until it is above the nasal bone. At this time, we should pay attention to avoid operating the skin on the back of nose.
There are many symptoms of crooked nose, and crooked nose caused by twisted nasal bones is a common one. The factors of nasal bone distortion are complicated, including uplift, depression and distortion. Now, for example, the nose deformation caused by the collapse of nasal bone due to the failure to correct nasal trauma in time, the correction method is introduced below.
1. Make an incision at the depressed nasal vestibule and alar cartilage, and insert a small scissors or a double-edged knife from here to separate the soft tissue on the nasal bone.
2. Saw off the collapsed nasal bone. Saw off both sides of the collapsed nasal bone with a nasal saw to make it move freely. This step can also be done with a nose chisel.
3. reset the nasal bone. Lift the broken nasal bone with a crowbar in the nasal cavity, and fill the nasal cavity with iodoform gauze to prevent collapse.
4. The external fixator is made of anti-adhesive and fixed outside the nose.
Matters needing attention in crooked nose repair operation:
1, the cartilage piece of nasal septum must be completely detached, otherwise it is difficult to achieve good correction effect.
2. When the anterior part of the nasal septum is removed and sutured, it must be thin and dense, otherwise it may form nasal septum perforation after operation.
3. The operation of separating the soft tissue of the nasal dorsum and the mucosa of the nasal septum must be serious to avoid breaking them.
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Chapter 1: Avoiding the Marriage Minefield
Chapter 2: What to do before marriage? Psychol