Bretan Onivaldo, Nogueira Emanuel Araújo, Silva Eriverton Ferreira da, Trindade Sérgio Henrique K
Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Botucatu, UNESP, Botucatu, SP.
Braz J Otorhinolaryngol. 2005 Mar-Apr;71(2):140-4. doi: 10.1016/s1808-8694(15)31301-x. Epub 2005 Aug 2.
Access to frontal sinus using the osteoplastic flap technique is indicated in lesions that do not yield endonasal approach. This technique can be practiced with dogs, although delineation of sinusal perimeter in canines is not as easy as it is in humans.
This study aims at presenting a method to access and delineate the frontal sinus of canines to reproduce the osteoplastic flap technique in man.
Surgical technique in animal.
In adult dogs, two straight lines were drawn: one along the median line of the frontal region; and the other at 45 masculine from the pupil. At the intersection point, 1-1.5 cm forward and 1 cm backward was measured; from these points, an incomplete rectangle delineating the frontal sinusal perimeters was drawn.
This procedure was performed 12 times during one year with participation of medical residents. Opening the animals' frontal sinuses was an easy procedure, and the osteoplastic technique to locate the sinus was performed without failures.
The method of locating and delineating the frontal sinus of dogs was useful to show that the osteoplastic technique is realistically reproducible in men.
对于无法通过鼻内入路处理的病变,可采用骨成形瓣技术进入额窦。该技术可在犬类身上实施,尽管确定犬类鼻窦的边界不像在人类身上那么容易。
本研究旨在介绍一种进入并确定犬类额窦边界的方法,以便在人类身上重现骨成形瓣技术。
动物手术技术。
在成年犬身上,绘制两条直线:一条沿额部中线;另一条从瞳孔处呈45度角引出。在交点处,向前测量1 - 1.5厘米,向后测量1厘米;从这些点出发,绘制一个勾勒额窦边界的不完整矩形。
在一年时间里,医学住院医师参与了12次该手术操作。打开动物的额窦是一个简单的过程,并且定位鼻窦的骨成形技术无一失败。
确定犬类额窦位置和边界的方法有助于证明骨成形技术在人类身上切实可行。