鼻窦骨化纤维瘤23例临床分析  

Clinical analysis of 23 patients with ossifying fibroma of paranasal sinuses

作　　者：唐正一[1] 张龙城[1] 全超坤[1] 钟海林[1] 杨建均[2] 

机构地区：[1]中国人民解放军第303医院耳鼻咽喉头颈外科,南宁530021 [2]中国人民解放军第303医院病理科

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第11期567-569,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻窦骨化纤维瘤的临床特点及治疗方案。方法:回顾性分析我院收治的23例鼻窦骨化纤维瘤患者的临床资料。根据病变部位和范围,采用鼻侧切开及改良鼻侧切开术10例,鼻内镜下手术8例,上颌窦根治术入路手术4例,冠状切口颅骨切开手术1例。结果:除鼻内镜下2例为部分切除外,其余均彻底切除,术后病理检查均证实为骨化纤维瘤。23例患者随访20例,失访3例,随访时间6个月～19年。18例无复发,2例复发后再次手术。结论:早期发现、CT检查、选择适当的术式及尽早彻底切除病灶是治疗该病、改善预后的关键。Objective：To investigate the clinical features and treatment options of ossifying fibroma of paranasal sinuses.Method： A retrospective evaluation of twenty-three patients with ossifying fibroma of paranasal sinuses was presented.The choice of surgical operations on ossifying fibroma of paranasal sinuses was mainly decided by the location and area of ossifying fibroma.Radical operations were performed in twenty-one patients,ten of them through a lateral rhinotomy approach,eight through nasal endoscopic approach,four through Caldwell-Luc approach,one through coronal approach.Result： Two patients were performed partial resection by nasal endoscopic surgery.Diagnoses of all cases were confirmed by pathology.All patients outcomes were successful,no serious complication from the surgical technique occurred.Twenty cases were followed-up for six months to nineteen years.Two patients recurred.Conclusion： Earlier diagnosis,CT scan,proper surgery,and radical resection are the keys to the treatment of ossifying fibroma of paranasal sinuses.

关 键 词：鼻窦 骨化性纤维瘤 外科手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]