Bouton V
Service ORL et Chirurgie Maxillo-Faciale, Centre Hospitalier Marc-Jacquet, Melun.
Ann Otolaryngol Chir Cervicofac. 1992;109(5):245-53.
A 16 case series of intranasal revision sphenoidecthmoidectomies is presented in this study concerning 10 patients with recurrent polyposis after 245 intranasal ethmoidectomies performed between 1986 and 1990 (6.5%). The modalities of surgical decision are precisely described, pointing out the correlation between clinic and endoscopic arguments. The CT-Scan is particularly appreciated for the details of recurrence sites and the anatomical dangers along these recurrences. Comparison is established with the most recent publications in this field and the discussion is open to express the rules of this surgery. 80% of good and excellent results are obtained in this series, justifying the procedure. The causes of bad results are evocated, especially allergy and the age of polyposis.
本研究报告了16例经鼻修正性蝶窦筛窦切除术的病例系列，涉及10例患者，这些患者在1986年至1990年间接受了245次经鼻筛窦切除术后出现复发性息肉病（6.5%）。文中精确描述了手术决策的方式，指出了临床与内镜证据之间的相关性。CT扫描对于复发部位的细节以及这些复发部位周围的解剖学风险特别有价值。与该领域最新的出版物进行了比较，并展开讨论以阐述该手术的规则。本系列手术获得了80%的良好和优秀结果，证明了该手术方法的合理性。文中还提及了不良结果的原因，尤其是过敏和息肉病患者的年龄。
