山西医科大学学报2013，Vol.44Issue(6)：493-495,3.DOI:10.3969/J.ISSN.1007-6611.2013.06.020
鼻内镜下额隐窝及额窦口解剖标志的识别和开放
Confirmation and opening-up of anatomical tokens in the frontal recess and peripheral regions of frontal sinus ostium through the nasal endoscopy
摘要
Abstract
Objective To confirm the frontal sinus peripheral region anatomical token during nasal endoscopy operation and its corresponding surgical ways.Methods The clinical data of 70 cases undergoing frontal sinus operation through nasal endoscopy were summarized.The anatomical tokens were carefully differentiated,including the frontal recess,agger nasi cell,frontal sinus bottom,olfactory concave,uncinate process,lamina papyracea.Results Of 70 cases,35 cases of frontal sinusitis with the uncinate process appending to the lamina papyracea underwent the operation through the Draf Ⅰ style,25 cases of the uncinate process appending to the middle nasal turbinate underwent operation through the middle turbinate armpit,and 10 cases of the uncinate process appending both the skull base and the nasal turbinate underwent the operation of the Draf Ⅱ A style.All the patients were successfully operated,and no intra-cranial and intra-orbital complications occurred.After follow-up for 1-3 years,no cases recurred,symptoms of sinusitis in 63 cases were fully improved and 7 cases were obviously improved.Conclusion To decide the frontal sinus operating style through the different uncinate process head terminal appending style and to confirm the frontal sinus ostium through the differentiation of the vital anatomical tokens as agger nasi,olfactory concave during the operation are of high significance to guarantee the success of the operation and prevent the complications.关键词
额窦/鼻内镜/额隐窝/鼻丘气房Key words
frontal sinus/ nasal endoscopy/ frontal recess/ agger nasi cell分类
医药卫生引用本文复制引用
邵渊,张少强,权芳..鼻内镜下额隐窝及额窦口解剖标志的识别和开放[J].山西医科大学学报,2013,44(6):493-495,3.基金项目
国家自然科学基金资助项目(30901946/H2902) （30901946/H2902）
