应用Wormald技术行额隐窝开放术20例报告  

Axillary flap approach to the frontal recess in 20 patients

作　　者：徐颖[1] 冯云海[1] 朱华斌[1] 叶海波[1] 

机构地区：[1]上海市第八人民医院耳鼻咽喉科,上海200235

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第20期927-928,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨应用Wormald技术行额隐窝开放术的方法及疗效。方法:对20例(24侧)慢性额窦炎患者应用Wormald技术行额隐窝开放术,术前鼻窦CT尤其是矢状位重建明确病变范围、来源及其与重要结构的毗邻关系。结果:所有患者术后均随访6个月以上,平均9个月,手术有效率为90%。除2例术后复发再次手术外,余未见复发。结论:鼻内镜下应用Wormald技术行额隐窝开放术安全可行,未见颅内、眼眶等严重并发症。术前明确定位导致额隐窝阻塞的病变气房;遇到难以辨认的额窦和额隐窝,应意识到手术的潜在困难;术中注意保护隐窝口黏膜;术后加强换药、冲洗、氧喷雾治疗,以提高手术疗效。Objective：To discuss the method and efficacy of Wormald technique application in opening frontal recess surgery. Method： Twenty cases with chronic frontal sinusitis underwent surgery with Wormald technique were subjected to this study. Preoperative CT scan and especially sagittal reconstructing were used to indicate the extent of lesion, source and key adjacent structure. Result： All patients were followed up for more than half a year with an average of nine months. The effective rate was 90 % and no recurrence appeared except for two cases. Conclusion：Application of Wormald technique for frontal recess open surgery under endoscope is safe and feasible, with no intracranial, orbital, and other serious complications. All treatments including preoperative sagittal CT, that help to a clear locating the cell lead to the frontal recess obstructive lesions , awaring of the potential difficul ties while frontal recess could not be identified, protecting mucous membrane in opration, and strengthening medi cation, washing, and oxygen spray after operation, can improve operational efficiency.

关 键 词：额窦炎 鼻内镜手术 额隐窝 Wormald技术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]