Hadar T, Shvero J, Nageris B, Yaniv E
Nose and Sinus Institute, Department of Otolaryngology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.
Harefuah. 2002 Aug;141(8):670-2, 764.
We reviewed the records of 38 patients aged 16 to 76 years with isolated sphenoid sinus disease who were treated by intranasal endoscopic sphenoidotomy at our hospital during the period 1992-1997. Diagnosis was made on the basis of history rigid nasal endoscopy and computed tomography (CT) scan of the sinuses. Headache was the main symptom in 29 (76%) patients. Other complaints were rhinitis, cough, nasal obstruction and nasal bleeding. Sphenoidotomy was performed endoscopically, directly through the area of the natural ostium. Acute or chronic sinusitis was found in 57% of the patients, cysts in 13%, polyps in 10%, mucocele in 8%, and fungal infection, pituitary adenoma, inverted papilloma and adenocarcinoma, in 3% each. Surgical results were excellent. The endoscopic approach proved to be both safe and effective.
Sphenoid sinus disease is mostly inflammatory in origin. The endoscopic approach to the sphenoid sinus is currently the most appropriate method of surgery for an isolated sphenoid lesion.
我们回顾了1992年至1997年间在我院接受鼻内镜下蝶窦切开术治疗的38例年龄在16至76岁之间的孤立性蝶窦疾病患者的记录。诊断基于病史、硬性鼻内镜检查和鼻窦计算机断层扫描（CT）。头痛是29例（76%）患者的主要症状。其他症状包括鼻炎、咳嗽、鼻塞和鼻出血。蝶窦切开术通过自然开口区域在内镜下直接进行。57%的患者发现急性或慢性鼻窦炎，13%为囊肿，10%为息肉，8%为黏液囊肿，3%为真菌感染、垂体腺瘤、内翻性乳头状瘤和腺癌。手术效果极佳。内镜手术方法被证明是安全有效的。
蝶窦疾病大多起源于炎症。目前，内镜下蝶窦手术是治疗孤立性蝶窦病变的最合适手术方法。
