鼻内镜下鼻腔外侧壁切开上颌窦手术在鼻内翻乳头状瘤手术中的应用

目的：探讨鼻内镜下鼻腔外侧壁切开上颌窦手术在鼻内翻乳头状瘤手术中的应用价值。方法：回顾性分析2008年1月~2010年1月采用鼻内镜下鼻腔外侧壁切开上颌窦手术切除鼻内翻乳头状瘤的临床资料。结果：全组患者均在鼻内镜下彻底切除,无并发症发生。全部患者完整随访12~24个月,平均18个月。结论：鼻内镜下鼻腔外侧壁切开术在鼻腔内翻乳头状瘤手术中的应用是可行的。其优点是,可避免面部瘢痕,创伤小,术后恢复期短,术中视野清晰,能彻底切除肿瘤,为彻底切除上颌窦病灶提供一种新的微创入路和方法。

Endoscopic nasal lateral wall dissection approach to maxillary sinus for nasal inverted papilloma

Objective： To evaluate the efficacy to Endoscopic nasal lateral wall dissection（ENLWD）approach to maxillary sinus for nasal inverted papilloma（NIP）of the nasal cavity and paranasal sinuses.Methods： Form January 2008 to January 2010,8 patients with nasal inverted papilloma received Endoscopic nasal lateral wall dissection in our hospital.The clinical data of the pationts were anlayzed retrodpictively.Results： The operation was completed in all 6 cases,all of them had no complications.They were followed up for 12-24 months（average 18 months）.Conclusion： Endoscopic nasal lateral wall dissection（WNLWD） approach to maxilary sinus is feasible for pationts with nasal inverted papilloma.By using the procedrue facial scars can be avoided;morever,owing to a clear surgical field,the surgeons can cmpletely resect the tumor,and the patients have less trauma and low recurrence rate after the treatment.It is a new and minimally invasive approach to maxillary sinus,in which the lesion can be thoroughly removed.