内镜辅助精准治疗上颌骨额突骨折的效果  

The effect of endoscope-assisted precise treatment of maxillary frontal process fractures

作　　者：李王伟 李静 王利国 吴玲心 施心怡 LI Wangwei;LI Jing;WANG Liguo;WU Lingxin;SHI Xinyi(Department of Otolaryngology,The Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing 211100,Jiangsu,China)

机构地区：[1]南京医科大学附属江宁医院耳鼻咽喉科,南京211100

出　　处：《医学研究与战创伤救治》2023年第8期849-851,共3页Journal of Medical Research & Combat Trauma Care

摘　　要：目的分析梨状孔入路内镜辅助精准治疗上颌骨额突骨折的应用效果。方法选取2022年8月至2023年3月43例因上颌骨额突骨折于京医科大学附属江宁医院进行内镜辅助下手术的患者。所有患者行梨状孔入路鼻内镜下上颌骨额突骨折复位术。观察患者外形、鼻功能恢复情况及满意率。结果43例患者术后均恢复良好,鼻外观未发现不对称及塌陷,无通气障碍等情况;患者术后满意率约95.35%。结论梨状孔入路鼻内镜下上颌骨额突骨折复位术暴露精准、显示清晰、复位准确,可以减少继发性鼻畸形和延展手术时机,是一种值得临床推广应用的手术方式。Objective To analyze the effect of endoscope-assisted treatment of maxillary frontal process fracture through piriform aperture approach.Methods 43 patients who underwent endoscopic-assisted surgery for maxillary frontal process fractures at the Affiliated Jiangning Hospital of Nanjing Medical University from August 2022 to March 2023 were selected.All patients underwent endoscopic nasal reduction of maxillary frontal process fractures through the piriform foramen.The patient's appearance,nasal function recovery and satisfaction rate were observed.Results All 43 patients recovered well after surgery.No asymmetry,collapse,or ventilation disorders were found in the appearance of the nose.The patient satisfaction rate after surgery was about 95.35%.Conclusion Endoscopic reduction of maxillary frontal process fractures through piriform aperture approach has precise exposure,clear display,and accurate reduction.It can reduce secondary nasal deformity and extend the timing of surgery.It is a surgical method worthy of clinical promotion and application.

关 键 词：内镜辅助 上颌骨额突骨折 梨状孔入路 满意率 

分 类 号：R765[医药卫生—耳鼻咽喉科]