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本文报告对４８例分别患鼻中隔偏曲，多发性鼻息肉，慢性筛窦或上颌窦炎及鼻腔、鼻窦血管瘤合并肥厚性鼻炎患者手术同时进行了功能性下甲成形术；手术范围包括切除多余下甲骨及（或）附着外侧及下方软组织和下甲后端，通过残留的下甲组织及（或）保留的下甲内侧组织形成覆盖瓣，使成为一功能性新下甲，术后鼻粘膜仍完整，大部分海绵组织未受影响，保护了下甲生理功能，全部病例鼻腔通气功能恢复，后遗症少。就下甲成形术临床价值，分型与适应症，手术前注意事项等进行了总结与讨论。
This report reports 48 cases of nasal septum deviation, multiple nasal polyps, chronic ethmoid or maxillary sinusitis and nasal sinus and hemangiomas with hypertrophic rhinitis surgery at the same time functional hypypyoplasty; surgical range, including the removal of excess Under the oracle bone and (or) attached to the outside and below the soft tissue and the lower posterior end of the nail, through the residual tissue and (or) retained the formation of the lower nail medial flap to become a functional new under the nail, postoperative nasal mucosa Still intact, most of the sponge tissue was not affected, protecting the physiological function of the lower arm, nasal ventilation in all cases recovery, less sequelae. The clinical value of hypothyroidism, classification and indications, precautions and other were summarized and discussed.