鼻内镜下筛泡前径路额窦开放手术

目的探讨经鼻内镜筛泡前径路额窦开放术的技术路线,讨论该术式在额窦开放中的疗效和安全性。方法选取23例(36侧)确诊为慢性额窦炎的成人病例,采用经鼻内镜筛泡前径路术式开放额窦。术后随访观察评估其安全性及疗效。结果20例经该径路开放成功,3例经额钉补充定位后开放成功。全部病例均无严重并发症出现,术后随访12～39个月,术前症状均消失,无复发。经鼻内镜检查额窦口开放良好。结论经鼻内镜筛泡前径路额窦开放手术是一种解剖标志易辨认、技术路线安全、疗效肯定的术式。

Endoscopic frontal sinus surgery through the route anterior to ethmoidal bulla

OBJECTIVE To discuss the method,efficacy and safety of endoscopic frontal sinus surgery in the route anterior to ethmoidal bulla. METHODS Twenty three adult patients(36 sides)with chronic frontal sinusitis received endoscopic frontal sinus surgery in the route anterior to ethmoidal bulla. The efficacy and safety were evaluated.RESULTS The ostia of frontal sinus were successfully opened with this method in 20 cases,and the other 3 cases also succeeded with the help of the frontal nail for location. No serious complications occurred.After following- up 12 to 39 months postoperatively,the symptoms vanished in all cases and no recurrence occurred. The endoscopic examinations showed well-opening of frontal sinus ostia.CONCLUSION Surgical procedure anterior to ethmoidal bulla is a safe and effective surgical model for frontal sinus lesions,and is therefore worthy of broad recommendation.