FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely plastic surgery. In the projection of the lower edge of the nasal septum, a one-sided incision is made on the nasal mucosa. Then, a tunnel is formed between the nasal septum and the mucoperichondrium, on both sides, into which the branches of the nasal mirror and the endoscope tube are inserted. Next, sequentially, on both sides, the mucoperichondrium is detached from the nasal septum, and then the mucoperiosteum. Then the triangular cartilages are separated from the nasal septum, through the formed diastasis between the nasal septum and triangular cartilages, the perichondral periosteal flap above the nasal spine is peeled off. Next, a bilateral medial osteotomy is performed and the removal of the bone-cartilaginous hump of the back of the nose is performed in a single block. Then, on the nasal mucosa, in the projection of the lower edge of the pyriform aperture, an incision is made, from which the bone edge of the pyriform aperture is separated by a raspatory from the outside of the periosteum, from the inside of the mucoperiosteum, and bilateral lateral osteotomy is performed, the convergence of the frontal processes of the upper jaw.
EFFECT: method makes it possible to increase the efficiency of the operation, reduce traumatism and reduce side complications.
3 cl, 14 dwg, 2 ex
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Authors
Dates
2022-04-20—Published
2021-06-15—Filed