METHOD FOR EXTERNAL NOSE AND NASAL CAVITY SEPTUM FIXATION Russian patent published in 2017 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: manual or instrumental reposition of bones, external nose cartilage and nasal septum is performed. At that, a nasal mirror is introduced into the nasal cavity, stainless steel cerclage wire needles 1 mm in diameter are used, which are introduced percutaneously after final repositioning of bone fragments. The first needle is introduced into the back of the nose, at 10 mm and 4 mm distance from the frontonasal suture, outwards from the internasal suture in the sagittal plane, the needle in the frontal plane is introduced parallel to the outer wall of the nasal cavity, so that the side nasal wall was lateral, and the outer surface of the nasal mirror lateral sponge was medial, the needle is passed through the inferior turbinate 4 mm short to the rear edge of the hard palate. Then the second needle is introduce, retreating 10 mm downwards, parallel to the first needle. The third needle is introduced 10 mm below the second one, parallel in the frontal plane, and in the direction of the upper jaw sixth tooth crown in the sagittal plane. The fourth needle is introduced parallel to the third one, but 10 mm below. The fifth needle is introduced, at 2 mm distance outwards from the internasal suture, parallel to the first needle in the sagittal plane, and parallel to the nasal septum in the frontal plane, so that the nasal mirror medial sponge outer wall was lateral. The sixth needle is introduced in the frontal plane as the fifth needle, and in the sagittal plane - parallel to the second needle. Then the seventh needle is introduced parallel to the sixth needle in the frontal plane and parallel to the third needle in the sagittal plane. The eighth needle is introduced parallel to the seventh needle in the frontal plane and parallel to the fourth needle in the sagittal plane. The outer ends of needles are bent over the integuments at a distance of 10 mm, needle excess is removed, leaving up to 2 mm of a needle to lock the monoblock. A similar operation is carried out on the second side of the nose. After the repeated final repositioning of bone fragments, a monoblock made from self-hardening plastic is imposed on the bent ends of needles. If a repeated delayed bone fragments repositioning is required, the monomlock is destroyed after anesthesia, bone fragments are repositionied to their correct position, and then a monoblock is imposed again.

EFFECT: method is simple and low-traumatic, allows redressing during treatment without needles removal.

2 cl, 3 dwg