鼻内镜下泪前隐窝入路治疗上颌窦内翻性乳头状瘤的疗效分析

目的 探讨鼻内镜下经泪前隐窝入路(即鼻腔外侧壁入路)手术治疗上颌窦内翻性乳头状瘤的疗效及并发症。 方法 回顾性分析2014年9月至2016年3月收治的21例内翻性乳头状瘤的临床资料。 结果 21例患者通过鼻内镜经泪前隐窝入路手术治疗上颌窦病变,术中均完全清除窦内病变,且术中、术后病理证实为内翻性乳头状瘤。术后愈合良好,无严重并发症。1例患者术后6个月局部复发,再次手术切除,现随访12个月无复发。 结论 经泪前隐窝入路进入上颌窦切除病变是一种微创、安全、有效的处理内翻性乳头状瘤的手术方式。

Endoscopic anterior prelacrimal recess surgery for treatment of inverted papillomas.

Objective To explore the clinical effects and complications of the nasal endoscopic anterior lacrimal recess approach for the treatment of inverted papillomas of the maxillary sinus. Methods Twenty-one patients with inverted papillomas of the maxillary sinus were treated in our department between September 2014 and March 2016. The operation was performed under hypotension anesthesia and treated with the endoscopic anterior lacrimal recess approach. Results The lesions were resected from all 21 patients. Postoperative pathological examination confirmed that all patients had sinonasal inverted papillomas. All of the patients exhibited satisfactory healing and no severe complications. With the exception of one patient who suffered local recurrence 6 months after operation, no patients experienced relapse. We repeated the operation through the anterior lacrimal recess and no signs of recurrence were detected at 12 months. Conclusion The endoscopic anterior lacrimal recess approach for treatment of inverted papillomas of the maxillary sinus is a minimally invasive, safe, and effective method that can be used as first-line treatment.