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鼻内镜下额筛窦骨瘤切除术
引用本文:李云川,张罗,周兵,韩德民. 鼻内镜下额筛窦骨瘤切除术[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(14): 628-630
作者姓名:李云川  张罗  周兵  韩德民
作者单位:1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室,北京,100730
2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室,北京,100730;北京市耳鼻咽喉科研究所
摘    要:
目的:评价额筛窦骨瘤鼻内镜径路切除术的效果。方法:18例额筛窦骨瘤患者中,位于额窦者8例,筛窦者6例,起源于筛窦突入额窦者4例,骨瘤大小为1cm×1cm×1cm~1.5cm×3.0cm×4.0cm,单纯采用鼻内镜径路切除17例,鼻内镜联合鼻外径路切除1例。结果:全部患者均完整切除肿瘤,无脑脊液鼻漏和眶筋膜损伤等并发症。术后随访6个月~3年,术前症状消失,未见复发。结论:对于额筛窦骨瘤,通过鼻内镜必要时结合眉弓切口外径路手术能够完整切除,并能够保护颅底、额窦后壁以及眶纸板等重要结构免受损伤。

关 键 词:鼻窦  骨瘤  鼻内镜

Resection of frontal ethmoid sinus osteomas with nasal endoscopy
LI Yun-chuan,ZHANG Luo,ZHOU Bing,HAN Demin. Resection of frontal ethmoid sinus osteomas with nasal endoscopy[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2009, 23(14): 628-630
Authors:LI Yun-chuan  ZHANG Luo  ZHOU Bing  HAN Demin
Affiliation:1Department of Otorhinolaryngology Head and Neck Surgery;Beijing Tongren Hospital Affiliated to Capital Medical University;Key Laboratory of Otolaryngology Head and Neck Surgery;Capital Medical University;Ministry of Education;Beijing;100730;China;2Beijing Institute of Otolaryngology
Abstract:
Objective:To evaluate the effect of resection of frontal ethmoid sinus osteomas with nasal endoscopy.Method:Eighteen cases of frontal ethmoid sinus osteoma from 2005 to 2008 were enrolled in our study,including 8 cases of frontal sinus osteomas,6 cases of ethmoid osteomas and 4 cases of frontal sinus osteomas extending to ethmoid sinus. Seventeen cases were treated by an endoscopic approach alone,and one case treated by a combined endoscopic and an external approach.Result:All cases were resected completely...
Keywords:nasal sinus  osteoma  nasal endoscopy  
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