鼻内镜下泪前隐窝径路上颌窦、翼腭窝病变切除  

Introduction to lesion resection of maxillary sinus and wing palatine fossa by nasal endoscope through anterior lacrimal fossa pathway

作　　者：李岗[1] 韦党军 蒋里明[1] 

机构地区：[1]安徽省太和县中医院耳鼻喉科,安徽阜阳236600

出　　处：《世界最新医学信息文摘》2014年第25期32-33,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：分析和讨论经鼻内镜下泪前隐窝入路，经上颌窦后壁切除累及上颌窦、翼腭窝及颞下窝病变手术结果。方法病历资料来自2011年至2013年住院接受经鼻内镜泪前隐窝入路上颌窦、翼腭窝病变切除患者4例，其中男、女各2例，年龄17-44岁，术前行鼻窦CT和MRI检查。采用全麻或局麻下经鼻内镜下泪前隐窝入路进入上颌窦、翼腭窝及颞下窝。术后定期复查CT或MRI。结果4例患者实现手术完整切除，随访无复发。结论内镜下经泪前隐窝入路切除上颌窦、翼腭窝、颞下窝病变，完整保留鼻腔外侧壁，损伤小，并发症少，是进入上颌窦、翼腭窝、颞下窝的创新入路。Objective To analyze and discuss the surgical results of lesion resection in maxillary sinus, wing palatine fossa and temporal fossa through anterior lacrimal fossa and maxillary sinus posterior wall by nasal endoscope.Methods 4 patients treated with lesion resection of maxillary sinus and wing palatine fossa through anterior lacrimal fossa by the nasal endoscope were selected from 2011 to 2013 in the hospital, male and female each 2 cases, age from 17 to 44. They were examined by sinus CT and MRI before operation. General anesthesia or local anesthesia was used in lesion resection of maxillary sinus, wing palatine and fossa temporal fossa through anterior lacrimal fossa by the nasal endoscope. They were reviewed by postoperative periodic CT or MRI examination.Results Four patients achieved complete lesion resection with no recurrence during following-up.Conclusion Lesion resection of maxillary sinus, wing palatine fossa and temporal fossa through anterior lacrimal fossa pathway by nasal endoscope can get intact lateral nasal wall with the advantages of little injury and fewer complications. It is an innovative way to enter maxillary sinus, wing palatine fossa and temporal fossa.

关 键 词：鼻内镜 泪前隐窝 上颌窦 翼腭窝 颞下窝 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]