medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2015-15-90-91medsovet-395Research ArticleДИССЕРТАНТDISSERTANTВосстановление опороспособности носовой перегородки при вторичной ринопластикеRestoring support ability of the nasal septum in secondary rhinoplastyДайхесН. О.DaykhesN. O.noemail@neicon.ruЛипскийК. Б.LipskiyK. B.noemail@neicon.ruСидоренковД. А.SidorenkovD. A.noemail@neicon.ruАганесовГ. А.AganesovG. A.noemail@neicon.ruПиманчевП. В.PimanchevP. V.noemail@neicon.ruСтрелковаН. К.StrelkovaN. K.noemail@neicon.ruПервый Московский государственный медицинский университет им. И.М. СеченоваРоссияthe First Moscow State Medical University named after I.M. SechenovRussian Federation2015301220150159091Copyright © Дайхес Н.О., Липский К.Б., Сидоренков Д.А., Аганесов Г.А., Пиманчев П.В., Стрелкова Н.К., 20152015Дайхес Н.О., Липский К.Б., Сидоренков Д.А., Аганесов Г.А., Пиманчев П.В., Стрелкова Н.К.Daykhes N.O., Lipskiy K.B., Sidorenkov D.A., Aganesov G.A., Pimanchev P.V., Strelkova N.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/395

Роль носовой перегородки в функциональном и эстетическом отношении неоспорима. В норме, являясь основной опорной структурой носа, носовая перегородка обеспечивает поддержку и стабильность структур наружного носа и его положение относительно центральной вертикальной оси лица. Искривление носовой перегородки - довольно распространенное явление среди населения. По данным литературы, до 96,5% населения имеет в той или иной степени искривление носовой перегородки. [2, 6, 16, 22-23]. Искривление носовой перегородки часто может приводить как к затруднению носового дыхания, так и к эстетическим жалобам, в основном на различные девиации спинки и/или кончика носа. В единичных случаях возможно устранение деформации наружного носа и нарушения носового дыхания после коррекции искривленной носовой перегородки. Но, учитывая тесную взаимосвязь между деформацией наружного носа и носовой перегородки, раздельная коррекция этих структур, на наш взгляд, неприемлема, особенно в аспекте вторичной ринопластики.

The functional and aesthetic role of nasal septum is indisputable. Normally, as the main supporting structure of the nose, nasal septum ensures support and stability of the structure of external nose and its position in relation to the central vertical axis of the face. Deviated septum is quite a common disorder among population. According to the literature, up to 96.5% of the population have a deviated nasal septum of a certain degree. [2, 6, 16, 22--23] Deviated septum can often lead both to difficulty in nasal breathing and to aesthetic complaints, mainly on various deviations of the arch and/or tip of the nose. In single cases, it is possible to mitigate deformation of the external nose and nasal breathing disorders after correction of deviated septum. However, in view of the interrelationship between deformations of the external nose and nasal septum, we find it unacceptable to manage the deformations separately, especially in terms of secondary rhinoplasty.

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The authors declare that there are no conflicts of interest present.