Salib R J, Chaudri S A, Rockley T J
Department of Otolaryngology/Head & Neck Surgery, Queen's Hospital, Burton-upon-Trent, UK.
J Laryngol Otol. 2001 Aug;115(8):676-8. doi: 10.1258/0022215011908612.
Maxillary sinus hypoplasia (MSH) is occasionally encountered in otorhinolaryngological practice. The hypoplastic sinus is liable to mucus retention, and cases of MSH usually present as a persistent maxillary sinusitis. Endoscopic surgery has been recommended as an effective treatment for the sinus infection. However, MSH is associated with anomalies of the lateral nasal wall which, if not recognized pre-operatively, can lead to inadvertent surgical damage to the orbit. Although some of these abnormalities can be evident endoscopically, the role of imaging in diagnosis and identification of important surgical landmarks is paramount. A posteriorly placed middle meatal antrostomy is recommended as the surgical treatment of choice.
上颌窦发育不全（MSH）在耳鼻喉科临床实践中偶尔会遇到。发育不全的鼻窦容易出现黏液潴留，MSH病例通常表现为持续性上颌窦炎。内镜手术已被推荐为治疗鼻窦感染的有效方法。然而，MSH与鼻侧壁异常有关，如果术前未识别，可能会导致术中意外损伤眼眶。尽管其中一些异常在内镜下可能明显，但影像学在诊断和识别重要手术标志方面的作用至关重要。建议采用后位中鼻道上颌窦造口术作为首选手术治疗方法。
