鼻后的

It suggested that under static status, the nasal septum, nasal columella and the lateral feet of nasal alar were the most concentrated areas of stress distribution. They are key mechanical parts of deformed nasal.3.2 Nasal displacement load analysis of patients with unilateral cleft lip and nasal alar collapse Deformed nasal displacement load three-dimensional finite element analysis showed that if the ipsilateral and contralateral nasal parts obtain similar geometry, the positions around nasal columella in ipsilateral nostril were the most stress concentrated region, next parts were the nasal septum and the lateral nasal alar.

提示静态状态下，鼻中隔、鼻小柱和两侧鼻翼外侧角是应力分布最集中部位，也是畸形鼻部的关键力学部位。3.2单侧唇裂鼻翼塌陷畸形患者的鼻部位移载荷形变后力学分析单侧唇裂鼻畸形患者的位移载荷三维有限元分析表明，畸形鼻部的患侧要获得和健侧近似的几何形态，其患侧鼻孔近鼻小柱周围应力分布最为集中，其次为鼻中隔和患侧鼻翼外方。

Immediate postoperative complications within one week include perinasal swelling (60 patients), perinasal pain (32 patients), perinasal ecchymosis (26 patients), periorbital swelling (6 patients) and epiphora (3 patients). Most of the complications disappeared within 3 months except intermittent tingling sensation in one patient and residual deformity in three patients.

手术后1周内并发症包括鼻周肿胀60名，鼻周疼痛32名，鼻周瘀青26名，眼周肿胀感6名，溢泪3名。3个月后仍存在的术后并发症包括间歇性刺痛感1名以及矫正后之残余性变形3名。

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。

BACKGROUND: The soft tissues would shrink with nasal framework collapse following surgical trauma, which cause aseptic inflammation, lead to parts of cartilage resorption. Accordingly, long-term saddle nose deformity usually accompanied by short nasal columella.

摘要背景：外伤致鼻基本支架塌陷后，软组织也会塌陷收缩，另外外伤损伤鼻软骨会引起鼻软骨无菌性炎症从而致部分软骨吸收，所以长期的鞍鼻畸形常伴有鼻小柱过短。

Methods we developed a surgical technique to correct short nose by increase tissue volume in nasal tip ,nasal alae and the columella. The technique contain three steps:① Wide dissection and prolongation of the outer skin envelope to cover the lengthened framework by a "V" formed surgical approach from columellar base to inner edge of alae.②Silicone or expanded polytetrafluoroethylene implant is used to correct saddle nose and to length nasal framework.③A papilionaceous concha composite graft containing a elliptic ear cartilage and a onlay "V" formed skin and subcutaneous tissue is grafted to inner edge of columella and alae. Results we performed the procedure on 8 patients.

通过8例短鼻缺陷受术者采用蝶形复合耳郭组织游离移植到鼻尖鼻翼以增加鼻尖鼻翼的组织量以达到延长短鼻的目的，手术分为三个步骤：首先从鼻小柱基底到两侧鼻翼内缘做V形切口，广泛分离鼻尾端皮肤粘膜；然后，通过硅胶或ePTFE假体材料间插并缝合于两侧大翼软骨之间延长鼻尖部软骨支架；最后，将蝶形耳后复合组织块移植到切口部以增加鼻尖鼻翼部的组织量，术后观察该法延长短鼻的实际效果。

Results: The distances from the root of columella nasi to the inforior pole of sphenoidal sinus aperture and the sphenopalatine foramen were (60.40±3.21,58.10-72.76) mm and (62.14±1.93,59.50-73.40) mm, respectively.

结果：鼻小柱根部至蝶窦口下极及蝶腭孔的距离分别为(60.40±3.21，58.10~72.76)mm和(62.14±1.93，59.50~73.40)mm；蝶腭孔至蝶窦口下极的距离为(12.20±1.10，8.10~16.35)mm，在蝶腭孔处蝶腭动脉的外径为(1.99±0.13，1.50~2.80)mm；蝶窦口下极至鼻中隔后上动脉及鼻中隔后下动脉的距离分别为3.49±0.24，2.78~5.20）mm和(6.42±1.08，4.30~8.50mm。

Uses the black-headed nose to stick takeoff black-headed be comparatively simple method, but this simple method however general be black-headed glue down, the pore eliminating the black-headed queen opens , asks neighbouring skin to use the refreshing skin water contracting a pore to pat a pore immediately.

使用黑头鼻贴去除黑头是比较简单的方法，但是这种简单的方法只是将黑头粘下来，除去黑头后的毛孔敞开，要立即用收缩毛孔的爽肤水轻拍毛孔附近的皮肤。

Measure the items on before and after the two courses of treatment respectively as follows:① Syndromes Investigation: to adopt the scoring methods of symptoms and signs with the certain standard scoring table of symptoms and classifying table of signs for the patients, on the day before and after the two courses of treatment respectively ,② Signs Investigation: the mucoma visibility, swelling or hyperemia conditions, or gloyp and polypoid change in the inferior and middle nasal conchas, nasal septum, etc with a nasal endoscope on the day before and after the two courses of treatment respectively,③ Test of the lung functiaon on the previous day before and after the two courses of treatment respectively.

治疗组在治疗前、两个疗程结束后分别进行以下项目的观察：①临床症状的评定：治疗前及两个疗程结束后当天对患者鼻塞、鼻痒、流涕、喷嚏症状的程度进行评分；②体征的评定：治疗前及两个疗程结束后当天采用鼻额镜肉眼观察患者下鼻甲鼻粘膜颜色、肿胀情况，及中鼻甲是否可见，有否息肉样变等；③治疗前及两个疗程结束后即刻予以检测肺功能。

Measure the items on before and after the two courses of treatment respectively (one course for 15 days) as follows:①Syndromes Investigation: to adopt the scoring methods of symptoms and signs with the certain standard scoring table of symptoms and classifying table of signs for the patients, on the day before and after the two courses of treatment respectively,②Signs Investigation: the mucoma visibility, swelling or hyperemia conditions, or gloyp and polypoid change in the inferior and middle nasal conchas, nasal septum, etc with a nasal endoscope on the day before and after the two courses of treatment respectively,③Test of the interferon-γ、interleukine-4(IL-4) in serum of patients by the method of enzyme linked immunosorbent assay on the previous day before and after the two courses of treatment respectively.

治疗组在治疗前、两个疗程结束后分别进行以下项目的观察：①临床症状的评定：治疗前及两个疗程结束后当天对患者鼻痒、鼻塞、流涕、喷嚏症状的程度进行评分；②体征的评定：治疗前及两个疗程结束后当天采用鼻额镜肉眼观察患者下鼻甲鼻粘膜颜色、肿胀情况，及中鼻甲是否可见，有否息肉样变等；③治疗前及两个疗程结束后一天清晨空腹抽取患者肘静脉血4ml离心后，采用酶联免疫吸附试验检测患者血清IFN-γ、IL-4的含量。

The "A" model lacked both the belly turret and powered nose turret of later models, and it had supercharged engines rather than turbocharged engines, so the engine nacelles are round instead of the distinctive horizontal oval nacelles of the later turbocharged models.

的& A &模式的肚子都没有炮塔和供电鼻炮塔的模式后，它已增压发动机，而不是涡轮增压发动机，因此，引擎舱的一轮，而不是独特的横向椭圆舱的后来涡轮增压车型。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。