MINKIN ALEKSANDR UZBEKOVICH,Минкин Александр Узбекович,ZIMIN DMITRIJ ALEKSANDROVICH,Зимин Дмитрий Александрович
申请号:
RU2013151558/14
公开号:
RU0002583249C2
申请日:
2013.11.19
申请国别(地区):
RU
年份:
2016
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to plastic surgery. The columella skin W-incision is made and extended into under-wing spaces. A mucosupracartilaginous flap is separated. A bone-cartilaginous nasal frame is separated. That is followed by an inspection procedure. A wedge resection is performed in a middle one-third of a nasal septum in the bone-cartilaginous portion with a triangle base lying on a front edge of the nose and an apex at the root of the nose. A straight osteotome is used for a symmetrical plane dissection of the cartilage and bone portions of the lateral nasal walls. The bone-cartilage complex of a nasal arch is brought down at the preset distance. A duplication of the bone and cartilaginous portions of the lateral nasal walls is formed. The nasal septum is matched end-to-end. The nasal septum is fixed in the cartilage portion with an interrupted suture. Inner sutures are applied on cartilages and nasal passage mucosa with absorbable non-traumatic suture material No.5/0. The columella skin is sutured with absorbable non-traumatic monofilament No. 6/0. That is followed by an anterior nasal swabbing with synthomycin ointment. The nasal arch is splinted and covered with an aseptic dressing.EFFECT: method enables improving the functional and aesthetic effect of the rhinoplasty, reducing the operation-related injuries and preserving the anatomical integrity of the nasal structures by the wedge resection of the nasal septum in its middle one-third and changing the nose shape by proper tissues.3 dwg, 2 exИзобретение относится к медицине, а именно к пластической хирургии. Выполняют W-образный разрез кожи колумеллы с продолжением в подкрыльные пространства. Отсепаровывают слизисто-надхрящный лоскут. Выделяют костно-хрящевой каркас носа. Проводят ревизию. Выполняют клиновидную резекцию в средней трети носовой перегородки в костно-хрящевом отделе с основанием треугольника на переднем крае хряща перегородки носа и вершиной у корня но