眉弓辅助径路鼻内镜下额窦病变切除术  

Excision of frontal sinus lesion under nasal endoscope with eyebrow arch incision assistance

作　　者：朱兴中 孙军 秦基云 吴龙体 陈雯 ZHU Xingzhong;SUN Jun;QIN Jiyun;WU Longti;CHEN Wen(Lianyungang Municipal Oriental Hospital,Jiangsu Lianyungang,222042,China)

机构地区：[1]江苏连云港市市立东方医院耳鼻咽喉科,222042

出　　处：《中国中西医结合耳鼻咽喉科杂志》2019年第2期117-118,共2页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的分析61例额窦病变患者眉弓辅助径路鼻内镜下额窦病变切除术,探讨该手术径路的临床应用。方法在鼻内镜鼻腔病变切除术的基础上,以眉头隆起额骨为中心标志切开皮肤10mm达骨壁,用磨钻或骨凿于额窦前壁开约5mm×8mm骨窗,多角度鼻内镜下彻底切除额窦腔病变,并经额窦内口开放与筛窦术腔贯通。结果术后随访6月～3年,61例额窦病变患者均一次痊愈,临床症状消失,无复发及窦口闭锁等。结论对于额窦病变较广泛的患者,特别是位于额窦外上角的病变,如额窦囊肿、额窦骨瘤以及复发性额窦炎导致额窦腔黏膜病变广泛增生等经眉弓辅助径路鼻内镜下额窦病变切除,具有视野清、大,径路宽畅,无盲区,病变切除彻底,面容影响小,疗效好,值得临床推广。Objective To analyze the effect and clinical application of endoscopic frontal sinus surgery with eyebrow arch incision assistance in 61 cases of frontal sinus lesion.Methods On the basis of endoscopic nasal surgery,a 10mm incision was made,centered on the eyebrow arch,then a 5mm×8mm bone window was made on the anterior frontal sinus wall with drill or bone.Finally,excision of frontal sinus lesion under nasal endoscope was completed.Results After 6 months to 3 years of follow-up,61 cases of frontal sinus disease were cured and clinical symptoms were disappeared.There were no recurrence and atresia of sinus orifice,etc.Conclusion Some patients had a wide range of frontal sinus lesions,especially in the superior angle of external frontal sinus,such as frontal sinus cyst,frontal sinus osteoma and recurrent frontal sinusitis which resulting in extensive proliferation of frontal sinus mucosal lesions,etc.For these cases,endoscopic resection of frontal sinus lesions via the assisted approach of the eyebrow arch is characterized by clear and large visual field and good curative effect,which is worthy of clinical promotion.

关 键 词：额窦病变 鼻内镜手术 眉弓辅助径路 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]