Ameline E, Wagner I, Delbove H, Coquille F, Visot A, Chabolle F
Service d'ORL et chirurgie cervico-faciale, Hôpital Foch, 40 rue Worth BP 36, 92151 Suresnes.
Ann Otolaryngol Chir Cervicofac. 2001 Dec;118(6):352-8.
In the surgery of frontal sinus exclusion, the place of cranialization is still controversial. Our aims were to describe the operative technique, report our results and discuss its indications.
Nineteen patients were operated according to this technique between 1984 and 1997. Cranialization was performed in the first place for tumors, osteitis, traumatisms and benign tumors or mucoceles with a special location. In patients with chronic sinusitis or mucocele, it was performed in the second place when functional surgery was considered as failure and because sinus obliteration seemed to be inappropriate.
There was no mortality nor anosmia linked to the procedure. Postoperative sequelae were related to the disease or to the surgical approach. After a median follow-up of 29 months, no disease recurrence was observed.
Cranialization of frontal sinus gives good results in selected patients, with low morbidity. Even though its indications are infrequent, this technique has its place in the surgical exclusion of frontal sinus.
在额窦封闭手术中，颅骨化的部位仍存在争议。我们的目的是描述手术技术，报告我们的结果并讨论其适应证。
1984年至1997年间，19例患者接受了该技术手术。颅骨化首先用于治疗肿瘤、骨炎、创伤以及特殊部位的良性肿瘤或黏液囊肿。对于慢性鼻窦炎或黏液囊肿患者，当功能性手术被认为失败且鼻窦闭塞似乎不合适时，进行颅骨化手术作为第二选择。
该手术无死亡病例，也未导致嗅觉丧失。术后后遗症与疾病或手术方式有关。中位随访29个月后，未观察到疾病复发。
对于选定的患者，额窦颅骨化效果良好，发病率低。尽管其适应证不常见，但该技术在额窦手术封闭中仍有其应用价值。
