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翼管神经切断术可治疗血管运动性鼻炎、过敏性鼻炎及复发性鼻息肉。但无论是采用经上颌窦径路还是经腭径路,均有一定副作用。作者用鼻内窥镜作翼管神经切断术。选用15具新鲜尸体经鼻内窥镜下作双侧翼管神经切断术练习,后对4例顽固性血管运动性鼻炎患者(其中1例为复发性鼻息肉)在全麻下施术。使用0°和30°鼻内窥镜,先将中鼻甲后端向外侧折断以暴露上鼻道后部,于上、中鼻甲后端之间,以弯形探头固定于蝶腭孔,用镰状刀于蝶腭孔后缘纵向切开粘骨膜,向前分离,确
Vascular nerve transection can treat vasomotor rhinitis, allergic rhinitis and recurrent nasal polyps. However, either by the maxillary sinus path or the palatal path, have some side effects. The author uses a nasal endoscope for pterygoid nerve transection. Fifteen fresh corpses were treated with nasal endoscopy for bilateral pterygoid nerve transection. Four patients with intractable vasomotor rhinitis (one case of recurrent nasal polyps) underwent general anesthesia. Using a 0 ° and 30 ° nasal endoscope, the posterior end of the middle turbinate is first broken to the outside to expose the posterior portion of the superior nasal canal, between the posterior end of the middle and middle turbinate, with a curved probe fixed to the sphenopalatine fossa, Knife knife in the posterior edge of the butterfly palate cut longitudinally mucoperiosteal separation forward, indeed