中国内镜杂志2013，Vol.19Issue(5)：530-533,4.
鼻内镜下两种入路额窦开放术
Two approaches for the endoscopic frontal surgery
王德利 1房振胜 1杜志华 1张岗 1宫政1
作者信息
- 1. 泰山医学院附属医院耳鼻咽喉科,山东泰安271000
- 折叠
摘要
Abstract
[Objective] To observe the anatomic characteristics of frontal recess (FR) and investigate the best approach of endoscopic frontal sinus surgery.[Methods] 39 cases (64 sides) were examined endoscopically and computed tomography in coronal and axial views,some of images were reconstructed in a parasagittal view.The approach of endoscopic frontal sinus surgery either an uncinate or an agger nasi approach was chosen according to examination results.[Results] A 6～16 month follow-up showed that 21 sides (77.8％) were cured,4 sides (14.8％)were improved,and 2 sides (7.4％) were recurrent in the uncinate approach group; and 29 sides (78.4％) were cured,5 sides (13.5％) were improved,and 3 sides (8.1％) were recurrent in the agger nasi approach group.No significant differences were found in the surgical outcomes between the two different surgical approaches.[Conclusion] The anatomy in frontal recess is complicated.The operation approach of choice is based on the results of computed tomographic scan and endoscopic examinations.The present study revealed that both surgical approaches could obtain similar outcomes.Thus,either approach or a combined approach can be chosen according to the actual situation in order to meet the satisfaction of the operations.关键词
额窦炎/额隐窝/鼻丘/钩突/CT/内镜手术Key words
frontal sinusitis/frontal recess/agger nasi cell/uncinate process/computed tomography/endoscopic surgery分类
医药卫生引用本文复制引用
王德利,房振胜,杜志华,张岗,宫政..鼻内镜下两种入路额窦开放术[J].中国内镜杂志,2013,19(5):530-533,4.
