鼻内的

To analyse eleven cases with cerebrospinal fluid rhinorrhea, pituitary tumor, encephalomeningocele, sphenoid sinus cyst and ethmoid sinus tumor, were analyzed from 1998 to 2004 and beening followed up for 6 months to 6 years.

分析我科1998年~2004年间经鼻内镜手术治疗脑脊液鼻漏、垂体瘤、鼻内脑膜脑膨出、蝶窦囊肿、筛窦癌等，资料完整、随访时间为6个月~6年的病历11例。

objective to compare four postoperative nasal packing materials.methods total 136 patients,80 cases with chronic sinus it is and under went endoscopic sinussurgery,were randomly packed using four different hae mostasis materials.in which,paraffin gauze group was 40 cases,rapid sorbalgon group 27 cases,merocel group 36 cases and gel knit group 31 cases.the packing materials wereemoved after left for 24 hours to 48 hours.the efficacy of nasal packing materials was asassessed interm of the levels of nasal pain or headache in the leaving period and nasal bleeding after removal of nasal packing.results the in cidence rate of nasal pain or headache respectively was 82.5% in paraffin gauze group,44.4% in merocel,11.1% in sorbalgon and 3.2% in gel knit.the significant statistical difference was observedbetween the four groups (χ2=70.21,p.01).the incidence rate of nasal bleeding after removed was 85%,11.1%,41.7% and 9.7% respectively.the statistical difference was also significant (χ2=54.28,p.01).conclusions the choosing of postoperative na sal packing after functional endoscopic sinus sur gey depends on various factors,gel knit has much advantages and can be used as routine packs after fess.

摘 要］目的：比较四种鼻腔填塞材料的疗效，指导临床选择合适的术后鼻内填塞物。方法：对134例慢性鼻窦炎分别采用凡士林纱条(40例)、藻酸钙纤维(sorbalgon，27例)、膨胀海绵(merocel，36例)和瑞纳凝胶快速止血材料(gel knit，31例)四种材料填塞鼻腔，24 h～48 h取出填塞物，根据填塞后鼻腔胀痛、头痛程度，取出填塞物后鼻腔出血程度等评价疗效。结果：凡士林纱条填塞组，82.5%有鼻腔胀痛或头痛；sorbalgon藻酸钙纤维组11.1%；merocel组44.4%；gel knit组3.2%，四组比较差异非常显著(χ2=70.21，p.01)。取出填塞物后鼻腔再出血分别为85%，11.1%，41.7%和9.7%，四组比较差异非常显著(χ2=54.28，p.01)。结论：鼻内镜手术时，应综合考虑诸方面因素合理选用术后填塞物。瑞纳优势较为全面，可作为鼻内镜手术的常规填塞材料。

Objective To study the efficacy of intranasal structure-normalizing surgery in treating rhinogenic headache.

目的 探讨鼻内结构正常化手术治疗鼻源性头痛的疗效。

In addition,CT virtual endoscopy allows structural visualization of the paranasal sinuses and distal portion of obstruction with unconventional angles and locations not accessible with rhinoscopy.

CT仿真内镜显示鼻内正常解剖结构、鼻部病变的位置、范围与鼻内镜所见类似，并可进入鼻内镜无法到达的腔道，如鼻窦内、狭窄的鼻道内以及梗阻病变的远端。

Spring water also features:观音洞within漱玉泉washing Xinquan, pure to be learned; Beidou days inside the cave and stone pulp slurry Stephen Stephen, clean micro-Gan, considerable tension; Xianyan inside the仙泉one meter in diameter石穴, the permanent UN human consumption inside the cave, no increase or decrease throughout the year; Coccinella inside a岩隙, give birth to spring a few liters a day; in addition to milk Stephen Gan, Long nose, Shek Funamizu and so on.

雁荡山的泉水亦有特色：观音洞内的漱玉泉、洗心泉，纯净可鉴；北斗洞内的天浆泉和石髓泉，洁净微甘，颇具张力；仙岩洞内的仙泉在一米直径的石穴中，任洞内居人饮用，终年不见增减；七星洞内一处岩隙，每日生出泉水数升；此外还有甘乳泉、龙鼻水、石船水等等。

Methods: Five cases were treated by transnasal endoscopic sphenoethmoidal optic canal decompression in clinic. Results: Three of them had their visual acuity improved from NLP, LP to 0.2～0.4 after the operation. the operative opportunity, merits of operative approaches, the key factors of treatment were discussed.

开展了经鼻内窥镜视神经管减压术，结果：采用经鼻内窥镜鼻内进路视神经管减压术5例，其中3例视力由术前的无光感、光感恢复到术后的0.2～0.4，讨论了手术时机、手术进路的优点和不足、影响疗效的主要因素。

The chemicals are detected by a specialised organ in the nose, called the vomeronasal organ or VNO.

这化学物质能被鼻内的一个器官所侦测到，这个特别的器官称之为犁鼻器。

METHODS: From August 2004 to July 2008, 64 patients who received internal osteotomies in Taichung Veterans General Hospital were enrolled in this retrospective study.

本研究回溯性收集包含自2004年8月至2008年7月间在台中荣总耳鼻喉部接受鼻成形术的患者中曾接受鼻内骨切开手术者共64名。

Deformed nasal bony vault can be corrected by proper nasal osteotomies via internal continuous or external perforated method.

变形的骨性鼻锥部可由鼻内连续性或鼻外穿透性的鼻骨切开术加以矫正。

During operation, an intranasal and marginal combining incision was made to expl ore the alar cartilages and to from a mucosal-cartilage flap in the nasal vest ibule. After the deformity of septal cartilage and the abnormalities of the alar base on the cleft side were repaired, the total alar cartilage was repositioned and rotated with suspension and V-Y advancement to correct the nasal deformiti es. Results Since 1993, a total of 92 cases were treated by the above p rocedure and satisfactory results were obtained.

手术经鼻端和患侧前庭联合切口，解剖、显露双侧鼻翼软骨，同时形成患侧前庭粘膜软骨瓣；在纠正鼻中隔软骨偏曲，松解患侧鼻肌复合体起点，使鼻翼脚无张力抬高后，再通过悬吊技术和粘膜软骨瓣的V-Y推进，将患侧鼻翼软骨进行整体旋转复位；最后，应用口轮匝肌上部纤维内收抬高鼻翼脚，用鼻肌复合体起点复位调整鼻孔形态，完成鼻畸形的矫正。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。