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鼻内镜下额窦手术 被引量:9

Nasal endoscopic frontal sinus surgery
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摘要 目的 探讨应用鼻内镜进行额窦手术。方法 总结201例鼻内镜下额窦手术。其中额窦炎症性病变190例,额窦粘液囊肿10例,额窦骨瘤1例,合并其它鼻腔病变247侧。术前行鼻窦CT扫描,结合术中鼻内镜准确定位额窦开口,清除或纠正额窦开口及其周围结构病变或变异,以建立良好的符合生理性的额窦通气引流通道。结果 术后随访3~18个月,全部病例症状消失或改善,无一例复发,无术后严重并发症。结论 鼻内镜下额窦手术不失为一种安全、有效及微创的手术方式,适用于大多数额窦病变。 Objective To explore nasal endoscopic frontal sinusotomy in frontal sinus diseases. Methods We retrospectively studied 201 cases of patients with frontal sinusitis, frontal sinus mucoceles, and osteoma who underwent transnasal endoscopic surgery from 1999 to 2002. Results After the operation, the symptoms of all patients with frontal sinus diseases disappeared or improved endoscopically. During the follow-up of 3 to 18 months no post-operative recurrence and severe complications were found. Conclusion Nasal endoscopic frontal sinusotomy is a safe, effective, and mini-wound surgical procedure and is suitable for most frontal sinus diseases.
出处 《中国耳鼻咽喉颅底外科杂志》 CAS 2003年第3期146-148,共3页 Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词 鼻内镜 额窦手术 额窦炎 额窦粘液囊肿 Nasal endoscopic surgery Frontal sinusitis Frontal sinus mucoceles
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参考文献4

  • 1Friedman M, Landsbreg R, Schults RA, et al. Frontal sinus surgery: endoscopic technique and preliminary results[J]. Am J Rhinal, 2000, 14(6): 393-403.
  • 2Gaafar H, Abdel-Monem MH Qawas MK. Frontal sinus outflow track "anatomic study"[J]. Acta Otolaryngol, 2001, 121 (2):305 - 309.
  • 3Stennert E. Rhino-frontal sinuseptotomy (RFS): a combined intra- extra nasal approach for the surgical treatment of severely diseased frontal sinuses[J]. Laryngoscope, 2001, 111(7): 1237- 1245.
  • 4Benoit CM, Duncavage JA. Combined external and endoscopic frontal sinusotomy with stent placement: a retrospective review[J]. Laryngoscope, 2001, 111(7): 1246-1249.

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