鼻内镜下不同手术径路治疗儿童及青少年上颌窦后鼻孔息肉的研究进展

上颌窦后鼻孔息肉(antrochoanal polyp,ACP)为来自上颌窦内,经上颌窦自然窦口或者上颌窦副孔突出于上颌窦外的一种炎性息肉样良性病变。在成人群体中比较少见,在儿童和青少年这一群体中的发病率明显较高。ACP目前唯一有效的治疗手段是鼻内镜辅助下手术切除,而完全切除病变及有效降低术后复发率的关键在于手术径路的选择。笔者对目前临床不同手术径路治疗儿童及青少年ACP的研究进展进行综述,以期为儿童及青少年病人寻找合适的手术径路。

Progress in treatment of children and adolescents with antrochoanal polyps by different surgical approaches under nasal endoscope

The antrochoanal polyp (ACP) is a polypoid lesion that originates in the maxillary sinus and protrudes from the maxillary sinus hole or the natural sinus ostium and descends to the posterior nasopharyngeal nasopharynx.It is rare in the adult population and has a significantly higher incidence in children and adolescents.The only effective treatment for ACP is endoscopic assisted surgical resection,the key to completely resecting the lesion and effectively reducing the recurrence rate is the choice of surgical approach.The author will review the current progress in the treatment of ACP in children and adolescents with different clinical surgical approaches,with a view to finding suitable surgical routes for children and adolescents.