Post Garrett, Kountakis Stilianos E
Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, GA 30912-4060, USA.
Am J Otolaryngol. 2005 Jan-Feb;26(1):54-6. doi: 10.1016/j.amjoto.2004.06.009.
Fibroosseous lesions of the maxilla and paranasal sinuses differ from one another in their prognosis and treatment, with the most important distinction being that of an ossifying fibroma (OF) and fibrous dysplasia. A clinically significant OF with its potentially more aggressive behavior must be completely resected. A look at historical and current approaches along with a case report of a 19-year-old woman with a recurrent sinonasal OF removed using endoscopic techniques are discussed. The case adds to the growing amount of literature showing a successful alternative to open surgery for large benign sinonasal tumors, when the character of the tumor, desire of the patient, and expertise of the physician permit endoscopic resection. With the improving techniques of sinonasal endoscopy, better care can be provided with less invasive surgery resulting in less recovery time, more aesthetically pleasing results, and decreased potential for infection.
上颌骨和鼻窦的纤维骨性病变在预后和治疗方面彼此不同，其中最重要的区别在于骨化性纤维瘤（OF）和骨纤维异常增殖症。具有潜在更具侵袭性的临床显著OF必须完全切除。本文讨论了历史和当前的治疗方法，并报告了一名19岁女性复发性鼻窦OF患者的病例，该患者采用内镜技术切除。该病例增加了越来越多的文献报道，表明当肿瘤特征、患者意愿和医生专业知识允许内镜切除时，对于大型良性鼻窦肿瘤，内镜手术是开放手术的成功替代方法。随着鼻窦内镜技术的不断改进，可以通过侵入性较小的手术提供更好的治疗，从而减少恢复时间，获得更美观的效果，并降低感染可能性。
