The author, since 1969, has established and had experience with an ideal antral window operation as a simple type of intranasal surgery using a double flap mucous-plasty in the treatment of chronic maxillary sinusitis. This intranasal antrostomy with nasoantral window-plasty is an ideal technique in sinusitis cases with mildly infamed and reversible conditions, without polypoid and highly thickened mucosa of the maxillary antrum, and has provided satisfactory surgical results with the following advantages: 1. It prevents the postoperative occurrance of unpleasent complications such as cheek swelling, dental and labial numbness, obstruction of the nasolacrimal passage due to over-curettage, osteomyelitis and postoperative cheek cyst as in cases following radical surgery. 2. The technique of two mucosal flaps taken from the nasal cavity and the maxillary antrum covers the up-and down-margin of the window and can prevent postoperative bony bleeding and reclosing of the window due to over-granulation, and consequently can keep the nasoantral window permanently open for free drainage. 3. The operation is very simple and conveniently performed under local anesthesia and requires minimal hospitalization. 4. There is minimal reaction, and minimal injury to the mucosa which rapidly returns to normal function. 5. High antroscopic visibility, to determine the status of the antral interior at all times during the surgery and the postoperative treatment, is provided. 6. In consideration of excretory function, ventilation and directional ciliary beating of the antral mucosa, the author believes that this intranasal antrostomy with nasoantral window- plasty is ideal and a better procedure than other simple antrostomies and better than Boenninghaus's single flap-plasty in the choice of different plastic techniques of the mucosal flap, and also this operation can proceed to a radical antral procedure.
Human ; Methods ; Nasal Mucosa/surgery*

OBJECTIVETo discuss the significance of acoustic rhinometry and rhinomanometry (RM) in the evaluation of submucous correction of nasal septum and submucous resection of inferior turbinate, and the correlations between the subject symptoms and the object results by acoustic rhinometry and RM in patients before and after operation.

METHODSA prospective study was conducted in forty-eight patients with nasal septal deviation and/or inferior turbinate hypertrophy. The patients were treated by submucous correction of nasal septum and/or submucous resection of inferior turbinate according to the patients' conditions. Visual analogue scale (VAS) was used to estimate the degree of nasal obstruction. Acoustic rhinometry and RM were used to obtain the data of nasal inspiratory effective resistance (IER), nasal expiratory effective resistance (EER), 0 - 5 cm nasal cavity volume (0 - 5 cm NCV), nasal minimal cross-sectional area (NMCA) and distance of the minimal cross-sectional area to the nostril (DCAN). The data were used to assess the airflow function of nasal cavity. Each patient was tested at the time both before and 4 weeks after surgery. The pre-and post operative data were used to calculate paired t-test by SPSS 17.0 and to disclose the Spearman rank correlation between VAS and IER, EER, 0 - 5 cm NCV, NMCA and DCAN individually.

RESULTSThe preoperative data showed that VAS was (3.44 ± 1.22), nasal IER was (0.66 ± 0.27) kPa×s×L(-1), nasal EER was (0.68 ± 0.29) kPa×s×L(-1), 0 - 5 cm NCV was (3.98 ± 1.30) cm(3), NMCA was (0.37 ± 0.23) cm(2) and DCAN was (2.42 ± 0.34) cm; and the postoperative data showed that VAS was (1.20 ± 0.80), nasal IER was (0.44 ± 0.21) kPa×s×L(-1), nasal EER was (0.46 ± 0.23) kPa×s×L(-1), 0 - 5 cm NCV was (4.85 ± 1.40) cm(3), NMCA was (0.53 ± 0.44) cm(2) and DCAN was (2.25 ± 0.49) cm. Significant differences existed in VAS, nasal IER, EER, 0 - 5 cm NCV, NMCA and DCAN between pre-and post operative data (t value were 9.163, 4.995, 4.508, -4.204, -2.203, 2.924, all P < 0.05). The correlation coefficient between VAS and IER, EER and 0 - 5 cm NMCA was 0.386, 0.343 and -0.307, respectively (all P < 0.05).

CONCLUSIONBoth acoustic rhinometry and RM are appropriate methods to be used in the evaluation of submucous correction of nasal septum and submucous resection of inferior turbinate, however, the correlations between the subject symptoms and the object results by acoustic rhinometry and RM need further research.

Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Nasal Mucosa ; surgery ; Nasal Obstruction ; physiopathology ; surgery ; Nasal Septum ; surgery ; Prospective Studies ; Rhinomanometry ; Treatment Outcome ; Turbinates ; surgery ; Young Adult

Adult ; Female ; Humans ; Nasal Mucosa ; pathology ; Nose Neoplasms ; diagnosis ; surgery ; Papilloma ; diagnosis ; surgery

OBJECTIVETo investigate the efficacy of endoscopic nasal cavity enlarging surgery for the alleviation of nasal obstruction.

METHODSOne hundred and eight patients with deviation of the nasal septum (DNS) and chronic hypertrophic rhinitis (CHR) were included in this study. Individualized operations were performed. DNS patients were treated by three line tension relaxing correction or nasal septum plasty. CHR patients were treated by inferior turbinate out fracture in combination with plasma radiofrequency ablation for reducing the volume of nasal soft tissue, sub-mucoperiosteal partial resection of the inferior turbinate or partial inferior turbinectomy.

RESULTSAll patients were followed for 3-12 months after surgery with an effective improvement in 97.2%. Symptoms of headache or complications of rhinitis sicca were not found.

CONCLUSIONSBeing careful to keep the physiological function of nasal mucosa, the integrity of the nasal septum, appropriate expansion of the nasal cavity volume, and restore ventilation with bilateral symmetry of the nasal cavity, satisfactory relief of nasal obstruction can be achieved.

Adolescent ; Adult ; Aged ; Endoscopy ; Female ; Humans ; Male ; Middle Aged ; Nasal Cavity ; surgery ; Nasal Mucosa ; Nasal Septum ; surgery ; Treatment Outcome ; Turbinates ; surgery ; Young Adult

OBJECTIVE: To explore the blood supply of the pedicle nasal septum mucosa flap of rabbit, in order to supply the theory and experiment basis for making the pedicle nasal septum mucosa flap to repair nasal cavity and skull base defect. METHOD: Twenty rabbits corpses were induced into the experimental subject, and inject 5 ml blue ink into the external carotid artery, then longitudinal cut apart the middle head of rabbit, finally observe the blood supply of the pedicle nasal septum mucosa flap. RESULT: The blood supply of the pedicle nasal septum mucosa flap mostly come from the vessels of extremitas anterior part of nasal septum. CONCLUSION Keep the he vessels of extremitas anterior part of nasal septum can guarantee the blood supply of mucous membrane, enhance the survival rate of nasal septum mucous membrane.
Animals ; Graft Survival ; Male ; Nasal Cavity ; surgery ; Nasal Mucosa ; blood supply ; Nasal Septum ; Rabbits ; Skull Base ; surgery ; Surgical Flaps ; blood supply ; Wound Healing

Adult ; Female ; Humans ; Male ; Middle Aged ; Nasal Mucosa ; surgery ; Nasal Septum ; pathology ; Rhinoplasty ; Tissue Transplantation ; Treatment Outcome

BACKGROUND: Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. METHODS: The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients’ and doctors’ satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture. RESULTS: According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach. CONCLUSION: We presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.
Epistaxis ; Facial Bones ; Fractures, Multiple ; Humans ; Incidence ; Methods ; Nasal Bone* ; Nasal Mucosa ; Orbit* ; Orbital Fractures ; Outpatients ; Surgery, Plastic

Management of the bulbous nasal tip with inadequate projection and drooping is challenging aesthetic plastic surgery. The bulbous nasal tip is influenced by several factors; 1) thick, non-elastic oily skin, 2) soft tissue bulkiness due to supratip fibrous fatty tissue, and 3) a wide intercrural angle or increased interdormal distance. Another common factor among caucasians, hypertrophic alar cartilage, is seen less in orientals. These variable factors can be corrected with various surgical maneuvers for proper tip projection and refined alar shape. All these procedures are performed through open rhinoplasty incision. The fibromuscular fatty tissue on the nasal tip is resected with subdermal tangential excision without violating the detmal blood supply. The proximal part of the lateral crus, dome and the part of medial crus which was isolated from the skin and nasal mucosa are replaced and plicated in midline in the role of a new columellar strut and skeletal support. If more skeletal supports are desired, the new columellar is reinforced with a silicone strut and conchal cartilage onlay grafts are applied. And for lengthening of the columella, a V-Y advancement incision on the columellar base with open rhinoplasty is applied. The pressure splint on the upper third of the columella and nasal tip is applied on the 7th postoperative day and maintained for two months. All procedures are focused on the preservation of catilaginous integrity and in providing skeletal support. We performed nasal tip plasty on the bulbous nasal tip and its simple technique and predictability resulted in improved nasal tip projection and contour.
Adipose Tissue ; Cartilage ; Inlays ; Nasal Mucosa ; Rhinoplasty ; Silicones ; Skin ; Splints ; Surgery, Plastic ; Transplants

Nasotracheal intubation is an anesthetic technique widely used for maxillofacial surgery. It has the advantage of easier access to the surgical site to surgeon. However, when the nasothracheal intubation is performed a few complications may occur, such as nasal mucosa damage, epistaxis, sinusitis by sinus drainage occlusion and transient bacteremia. In addition, concha bullosa is a common anatomic variant of the middle turbinate, which is pneumatized, and very susceptible to trauma. We report a case of accidental middle turbinectomy by nasotracheal intubation, in the patient who had bilateral concha bullosa.
Bacteremia ; Drainage ; Epistaxis ; Humans ; Intubation* ; Nasal Mucosa ; Sinusitis ; Surgery, Oral ; Turbinates

Adenoma ; Diagnosis, Differential ; Hamartoma ; Humans ; Nasal Cavity ; surgery ; Paranasal Sinuses ; Respiratory Mucosa