鼻内镜下切除鼻腔及鼻窦巨大骨瘤1例  

Endoscopic resection of the nasal cavity and paranasal sinus osteoma: a case of huge

作　　者：杨洋[1] 

机构地区：[1]合肥市第三人民医院耳鼻咽喉科,安徽230022

出　　处：《安徽卫生职业技术学院学报》2016年第1期137-138,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:分析筛窦骨瘤的临床特征,探讨其诊治方法及鼻内镜下微创手术切除的优点。方法:报告1例筛窦骨瘤的临床诊治及手术过程,并就筛窦骨瘤的特点与诊治方法进行文献回顾复习分析。结果:高分辨率CT及三维重建技术有助于分辨骨瘤的大小、毗邻结构关系及术式选择,术中需防止脑脊液鼻漏、眶壁损伤等并发症的发生。结论:筛窦为鼻窦骨瘤的好发部位,局限于筛窦及鼻腔的骨瘤适于鼻内镜下手术切除,具有手术创伤小、术后无面部瘢痕等优点。Objective： To present the clinical features,the diagnosis and treatment methods and The advantages of endoscopic resection of ethmoid osteoma.Methods：To report one case of ethmoid Osteoma and to review the related literatures.Results： Fine-resolution CT and three-dimensional re-construction technique help to determine osteoma size,adjacent structures and surgical options,which are necessary to prevent cerebrospinal fluid leak,orbital injury complications.Conclusion：Ethmoid is the most vulnerable to osteoma in four paranasal sinuses.Endoscopic resection of ethmoid osteoma Suites to the osteoma confined within ethmoid and nasal cavity and it does not result in postoperative facia I scar with less trauma.

关 键 词：巨大骨瘤 鼻腔 鼻窦 内镜手术 

分 类 号：R739.62[医药卫生—肿瘤]