Meng G, Hou D, Liu Y
Department of Otolaryngology, Xinhua Hospital, the Second Medical University, Shanghai 200092.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1998 Sep;12(9):387-8.
To reduce postoperative recurrency of nasal polyps and sinusitis, the anatomy of lateral wall of nasal cavity was studied in body head. It was found that there was a considerable wide area between the anterior attachment of the middle turbinate and the roof of ethmoidal sinus, just where the agger nasi ethmoidal cells and frontal recess lying. And also the medial wall of agger nasi ethmoidal cell is just above the anterior attachment of middle turbinate. In our operations, the bony structure above the anterior attachment of middle turbinate was resected to open the medial wall of agger nasi ethmoidal cells and the frontal recess, the lesions in them was removed carefully to reobtain a well drainage. 15 cases were followed up for 0.5 to 1.5 years and the result was satisfying.
为降低鼻息肉和鼻窦炎的术后复发率,对尸体头部鼻腔外侧壁的解剖结构进行了研究。发现在中鼻甲前附着处与筛窦顶部之间存在一个相当宽的区域,此处正是鼻丘气房和额隐窝所在位置。而且鼻丘气房的内侧壁恰好在中鼻甲前附着处的上方。在我们的手术中,切除中鼻甲前附着处上方的骨质结构,打开鼻丘气房的内侧壁和额隐窝,仔细清除其中的病变组织以重新获得良好的引流。对15例患者进行了0.5至1.5年的随访,结果令人满意。