비폐색 개선을 위한 비중격 수술 시 High Septal Deviation은 반드시 교정되어야 하는가?

한성준; 오훈; 박용균; 민상기; 신지호; 이원욱; 김진일; 김현직

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자료유형: 학술저널

저자정보: 한성준 (서울대학교 의과대학 이비인후과학교실) 오훈 (중앙대학교 의과대학 이비인후과학교실) 박용균 (중앙대학교 의과대학 이비인후과학교실) 민상기 (중앙대학교 의과대학 이비인후과학교실) 신지호 (중앙대학교 의과대학 이비인후과학교실) 이원욱 (서울대학교 의과대학 이비인후과학교실) 김진일 (서울대학교 의과대학 이비인후과학교실) 김현직 (서울대학교)

저널정보: 대한비과학회 Journal of Rhinology Journal of Rhinology Vol.23 No.2

발행연도: 2016.1

수록면: 85 - 90 (6page)

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Background and Objectives: High dorsal deflection of the nasal septum around cartilage or the perpendicular plate is technically difficult to correct. The objective of this study was to assess whether correction of high septal deviation during septoplasty is necessary to improve nasal airflow. Patients and Surgical Method: Twenty-one patients with high septal deviation around the septal cartilage or the perpendicular plate were included in this study. In order to improve nasal obstruction, septoturbinoplasty was performed, but high septal deviation was not corrected. Subjective and objective improvements were evaluated using the visual analogue scale and acoustic rhinometry 1 month before and 3 months after surgery. Results: After correction of nasal septum deviation except high septal deviation and reduction of turbinate mucosal volume, postoperative nasal volume and minimum cross-sectional area were significantly increased. Subjective symptom scales for nasal obstruction, rhinorrhea, sneezing, and posterior nasal drip were considerably improved after limited septoturbinoplasty in patients who still had high dorsal deflection of the nasal septum. Conclusion: Our findings suggest that limited septoturbinoplasty without excessive resection of high dorsal deflection of the nasal septum can improve nasal airflow and reduce subjective symptoms, including nasal obstruction.

#Septoplasty #Septal deviation #Nasal airflow #Nasal obstruction #Turbinoplasty

참고문헌 (11)

참고문헌 신청

Min YG / 1995 / Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey / Rhinology 33(2):61~65

Baumann I / 2007 / A new classification of septal deviations / Rhinology 45(3):220~223

Kim IJ / 1995 / Changes in the geometry of the nasal cavity with nasal cycle: evaluation by acoustic rhinometry / Korean J Otolaryngol-Head Neck Surg 38(5):705~710

Grymer LF / 1989 / Acoustic rhinometry:evaluation of the nasal cavity with septal deviations, before and after septoplasty / Laryngoscope 99(11):1180~1187

Grymer LF / 1991 / Acoustic rhinometry:values from adults with subjective normal nasal patency / Rhinology 29(1):35~47

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