RU140146U1 - CORRECTIVE BANDAGE FOR FIXING THE EXTERNAL NOSE - Google Patents

Abstract

1. Corrective dressing for fixing the external nose, characterized in that the dressing is made of double-sided tape and a flexible lead plate that repeats the shape of the external nose. The corrective dressing according to claim 1, characterized in that the size of the dressing is 3.5-4 cm in height and 1.5-2 cm in width. Corrective dressing according to claim 1, characterized in that it includes 3 departments: frontal, nasal and buccal, where the frontal section is 1-1.5 cm in height, 4-4.5 cm in width, the nasal section is 2 in height 5-3 cm, 1.5-2 cm wide, and the buccal section 1.5-2 cm high and 4.5-5 cm wide.

Description

The utility model relates to medicine, namely to surgery, in particular otorhinolaryngology, is used for corrective operations of the external nose, with deformation of the external nose and fractures of the nasal bones.

After surgical removal of a cosmetic defect in the bones and cartilage of the external nose or removal of displacement and deformation of the external nose, a dressing is applied using gypsum, colloid or lead plates.

A known design for rigid fixation of the bones of the nose. Patent No. 2274428 by class A61B 17/60 dated 01/12/2011.

The design consists of a fixing element in the form of a plaster cast, repeating the contours of the nose, a corrective element in the form of a self-tapping screw and a lining plate for a self-tapping screw. The fixing element is made with a plate-frame and curved Kirschner knitting needles for fixing the plate-frame to the zygomatic bones. The self-tapping screw is screwed into the frame plate and presses the plaster bandage to the bones through the plate - lining.

The disadvantage of this device is the time spent on the manufacture of dressings, trauma to the surrounding tissue during use and the need to use only for combined facial injuries.

Known hypercorrective plaster modeling dressing. Patent No. 2202320 by class A61F 13/04 from 04/07/2011.

The dressing consists of several layers of gypsum bandage and has two cheek bends: the frontal and nasal sections, which lie at the sites of elastic deformation of the tissues, consists of hypercorriging fragments - the applicators of the gypsum bandage connecting their layer, consists of a single-layer gypsum towel, and the main three-layer dressing has T -shaped form, on top of which are superimposed rectangular three-layer anterolateral and frontal strips.

This dressing is fixed to the face skin with a band-aid and does not provide reliable fixation of the tissues of the external nose. This leads to the formation of cosmetic defects and repeated plastic surgery to eliminate residual cosmetic defects.

The closest analogue of the utility model to the technical nature is hypercorrigive gypsum modeling dressing. Patent No. 2202320 by class A61F 13/04 of 04/07/2011, which we take as a prototype.

The disadvantage of this device is the unreliable fixation of the bandage to the surrounding tissues, since the bandage is fixed to the skin with a band-aid that does not reliably fix the bandage, as a result of which cosmetic defects and the need for repeated surgical interventions may occur. It is impossible to carry out daily local hypercorrection, which does not exclude the occurrence of subcutaneous hematomas. For the manufacture of a plaster cast, a waste of time is required, which increases the duration of the patient's stay on the operating table. Also, when applying a gypsum dressing, it is necessary to change the latter, since it lags behind the skin after reducing the swelling of the surrounding tissues.

The objective of the claimed device is to reduce the duration of treatment, with stable preservation of the shape of the nose after reposition or corrective surgical treatment of the external nose, as well as the prevention of hematoma in the postoperative period.

Significant differences are that the corrective dressing consists of double-sided tape and a flexible lead plate that repeats the shape of the outer nose, the dimensions of which are 3.5-4 cm in height and 1.5-2 cm in width.

The corrective dressing according to claim 1, characterized in that it includes 3 departments: the frontal, nasal and buccal-lateral, where the frontal section is 1-1.5 cm high, 4.5-5 cm wide, the nose has the dimensions are 2.5-3 cm in height, 1.5-2 cm in width, and the cheek-side section is 1.5-2 cm in height and 4.5-5 cm in width.

The essence of the technical solution and a specific example of the claimed device is illustrated by drawings: FIG. 1 - a corrective dressing is shown, front view, in FIG. 2 - corrective dressing having a frontal, nasal and cheek-side sections.

1 - lead plate; 2 - adhesive tape, 3 - frontal section; 4 - nasal section; 5 cheek-side dressing.

The technical result of the claimed device is achieved in that the corrective layer-by-layer dressing for fixing the bones of the nose is made of two layers of adhesive tape and a lead plate. The adhesive surface of the dressing consists of double-sided tape, the adhesive layer of which is made of synthetic rubber TU 2245-001-4507, according to organoleptic and physico-chemical parameters, it meets sanitary and hygienic requirements. Manufacturing organization LLC MPF Soyuzpak, pos. Tolstopaltsevo. The adhesive layer tightly fixes the bandage to the skin of the nose and to the bandage itself, without requiring replacing it every 2 days, since it does not lag behind the tissues after reducing swelling. The second layer consists of a flexible lead plate. Due to the flexibility of the plate, it is possible to carry out daily local correction, which eliminates the occurrence of subcutaneous hematomas.

Corrective dressing individually made but in the form of the patient’s nose before surgery. The dressing depicted in FIG. 1, is used in operations on the bone part of the external nose. In surgical interventions on the cartilage of the external nose, the dressing shown in FIG. 2. A bandage is cut out of the lead plate, which has the constituent parts — the frontal, nasal and buccal-lateral sections. The sizes of corrective dressings indicated on the drawings are the most optimal, taking into account the average size of a person’s nose.

Corrective layer dressing for fixing the external nose is used as follows:

A patient with a deformation of the external nose or a fracture of the nasal bones under endotracheal anesthesia performs a reduction of the nasal bones or rhinoplasty. After elimination of a cosmetic defect in the bone or cartilage of the external nose, in order to maintain the obtained shape, a lead plate with a lower adhesive layer made of double-sided tape that provides good fixation of the dressing is applied directly to the operating table. To prevent a negative reaction from the skin of the external nose, a Luxplast patch-spray manufactured by Farmak-Zabbnsp.p., Italy, is preliminarily applied, in accordance with GOST P51148-98, registration certificate No. FSZ 2010/07313.

In operations involving the cartilage of the nose to create symmetry throughout the back and tip of the nose, a dressing is made that has 3 sections - frontal, nasal and buccal-lateral. Wearing a bandage is recommended for 6-7 days. Possible daily correction of the repaired parts of the nose, which eliminates the occurrence of subcutaneous hematomas. The dressing is easily removed and a good cosmetic effect remains.

Example No. 1: Patient S., 42 years old, was admitted to the ENT department for elective rhinoplasty with a diagnosis of post-traumatic deformation of the external nose. From the anamnesis it was revealed that the patient received a nose injury 5 years ago. After which I did not seek medical help; reposition of nasal bones was not performed. On examination, the patient determines the displacement of the nasal bones to the left, with the deviation of the tip of the nose to the right, the nasal septum is curved. Under general anesthesia, the patient underwent submucosal resection of the nasal septum and anterior nasal tamponade was performed. Then, through the cuts along the edge of the pear-shaped opening, a fragmentary osteotomy was made, the correct shape of the nose was formed. To maintain the shape, a corrective lead dressing is applied, prefabricated, the lower layer of which is a double-sided tape, which the canvas fixes the lead plate to the skin of the nose and to the dressing itself. Previously, a patch-spray is applied to the skin of the back of the nose to prevent skin contact with adhesive tape. The dressing was removed on the 7th day, the cosmetic effect is good, the patient was discharged home in satisfactory condition.

Example No. 2. Patient A., 30 years old. She was admitted to the ENT clinic with a diagnosis of deformity of the nose in the area of the wing cartilage. From the anamnesis it is known that the patient received a nose injury about 7 years ago.

On examination, the wing cartilage is not symmetrical, the tip of the nose is down. Under local anesthesia, the wing wing cartilage was plastic under the marginal access and the tip of the nose was tightened. The wound was sutured. A corrective lead dressing was applied with the frontal, nasal and cheek-side sections. Previously, the skin of the nose is treated with a plaster spray. The dressing was removed on the 6th day.

The cosmetic effect is good. The patient was discharged home in satisfactory condition.

The above examples show that the proposed corrective dressing stably maintains the shape of the nose after rhinoplasty.

Thus, the use of this dressing improves the quality of treatment, reduces the duration of the postoperative period; the patient’s stay on the operating table is reduced, since the dressing is made before surgery. Daily correction of repaired nasal sections is possible due to the flexibility of the lead plate, which eliminates the occurrence of subcutaneous hematomas, and also eliminates the possibility of repeated surgical interventions. Operations using the proposed corrective dressing were performed on 10 volunteers. No complications arose. The patient's stay in the hospital was reduced by 3-5 days.

Claims (3)

1. Corrective dressing for fixing the external nose, characterized in that the dressing is made of double-sided tape and a flexible lead plate that repeats the shape of the external nose. 2. Corrective dressing according to claim 1, characterized in that the size of the dressing is 3.5-4 cm in height, 1.5-2 cm in width. 3. Corrective dressing according to claim 1, characterized in that it includes 3 departments: frontal, nasal and buccal, where the frontal section is 1-1.5 cm high, 4-4.5 cm wide, the nasal section is 2.5-3 cm high, 1.5-2 cm wide, and the buccal section 1.5-2 cm high and 4.5-5 cm wide.

Images