鼻内镜下下鼻甲翻转入路治疗上颌窦内翻性乳头状瘤  

Inferior nasal concha flipping for treatment of inverted papilloma of the maxillary sinus by endoscopy

作　　者：陈秀梅[1] 宋西成[1] 

机构地区：[1]烟台毓璜顶医院耳鼻咽喉头颈外科,山东烟台264000

出　　处：《山东大学耳鼻喉眼学报》2013年第2期37-39,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：烟台市科技发展计划(2009155-20)

摘　　要：目的探讨上颌窦内翻性乳头状瘤的手术入路及方法。方法 2006年1月至2011年6月应用下鼻甲翻转治疗上颌窦内翻性乳头状瘤29例,根据Krouse临床分级标准所有病例均为Ⅲ级。其中原发于上颌窦者4例,原发于其他部位累及上颌窦者25例,均采用鼻内镜下下鼻甲翻转方式清除病变组织。结果所有患者随访12～36个月,仅3例术后复发,有2例病变广泛,为全组鼻窦病变,1例为原发于额隐窝,余26例预后良好,未见复发。结论应用下鼻甲翻转入路可以减少创伤,提供开阔的手术视野,是治疗上颌窦内翻性乳头状瘤的有效手段。Objective To explore the treatment method of inverted papilloma of the maxillary sinus. Methods 29 ca- ses were treated by an inferiornasal concha flipping pathway from January 2006 to June 2011. All the cases were in stage m according to the Clinical grading standard of Krouse. 4 cases originated in the maxillary sinus, the other 25 ca- ses invaded in the maxillary sinus. All the patients were performed the operations by the inferior nasal concha flipping approach. Results Followed up in 12 to 36 months, only 3 cases recurred. Among these recurrence cases, 2 were ex- tensive lesion for all the sinuses and 1 originated in the frontal sinus. Conclusion Inferior nasal concha flipping is help- ful in reducing trauma and providing an expansive field of view and is an effective method of treatment of inverted papil- loma of the maxillary sinus.

关 键 词：乳头状瘤 内翻 上颌窦 鼻内镜外科手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]