鼻内镜下鼻腔外侧壁开窗治疗上颌骨囊肿

目的 探讨在鼻内镜下行鼻腔外侧壁开窗治疗上颌骨囊肿的手术方法及临床疗效.方法 对19例上颌骨囊肿,根据囊肿的位置、大小及累及上颌窦的范围,在鼻内镜下行鼻腔外侧壁开窗,使囊肿腔与上颌窦、鼻腔引流通畅.结果 术后随访12~24个月, 囊肿术腔黏膜于术后3个月上皮化,囊肿均无复发,术腔与鼻窦腔开窗口通畅.结论 经鼻内镜下鼻腔外侧壁开窗治疗上颌骨囊肿,符合微创手术的特征,满足鼻腔、鼻窦生理功能,疗效良好.

Endoscopic transnasal lateral wall fenestration in treatment of maxillary cyst

Objective To explore the effect of endoscopic transnasal lateral wall fenestration in the treatment of maxillary cyst. Methods According to the location, size and involvement extent to the maxillary sinus, 19 cases were performed endoscopic transnasal lateral wall fenestration. Results During a follow-up period of 12 to 24 months, cyst mucosa epithelia was found in post-operative 3 months, no relapse happened, and the sinus cavity drained well. Conclusion Endoscopic transnasal lateral wall fenestration is a minimally invasive surgery in treatment of maxillary cyst and produces good result.