鼻内镜下泪前隐窝入路处理医源性上颌窦异物  

Treatment of the iatrogenic foreign body in the maxillary sinus via the endoscopic anterior prelacrimal recess approach

作　　者：夏思文 孙月[2] 黄益灯 李小苗 何帅 

机构地区：[1]解放军第118医院耳鼻咽喉头颈外科,浙江温州325000 [2]解放军第401医院耳鼻咽喉头颈外科,山东青岛266071 [3]解放军第118医院口腔科,浙江温州325000

出　　处：《山东大学耳鼻喉眼学报》2015年第4期28-30,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：南京军区医学科技创新课题(10MA024;MS033)联合资助

摘　　要：目的探讨经鼻内镜下泪前隐窝入路处理医源性上颌窦异物的方法及疗效。方法 2012年1月至2014年6月为11例医源性上颌窦异物行鼻内镜下泪前隐窝开窗上颌窦异物取出术。结果 11例上颌窦异物均一次取出,术后上颌窦自然口引流好,黏膜愈合佳。术后随访3至6个月,鼻腔、鼻窦恢复良好,无并发症发生。结论鼻内镜下泪前隐窝入路处理医源性上颌窦异物具有视野好、操作方便、损伤小、功能保护佳的优点,处理巨大异物优势更明显。Objective To explore the skill and efficacy of treatment for the iatrogenic foreign body in the maxillary sinus via the endoscopic anterior prelacrimal recess approach. Methods A total of 11 patients with the iatrogenic foreign body in the maxillary sinus were treated by endoscopic anterior prelacrimal recess surgery from January 2012 to June 2014. Results The foreign body was removed totally in all 11 patients（ 100%）. Mucosa was well recovered and drained. During a 3-6 months follow-up,no complications happened. Conclusion Endoscopic anterior prelacrimal recess approach in treatment of iatrogenic foreign body in the maxillary sinus has advantages of good vision,convenient operation,little injury and good protection. It has unique advantage for the huge foreign body in the maxillary sinus.

关 键 词：上颌窦 异物 泪前隐窝 鼻内镜外科手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]