Zhang Xiaowen, Sun Ruijie, Cai Xiaolan
Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Mar;21(5):217-8.
To discuss the clinical characteristic and surgical treatment of nasal sinus osteoma.
Fifty-one cases with nasal sinus osteoma were diagnosed by nasal sinus X ray or CT scan. All of these osteoma patients were cured by surgical resection. Supraorbital Lynch approach were applied in forty-two cases, lateral rhinotomy Moure approach in 4 cases, Caldwell-Luc approach in 3 cases and Dandy approach that combined with cranium and facial route in 2 cases.
Operative incisions in all cases healed in 1 period, no complications such as brain spinal fistula occurred. All cases were followed up for 6 months to 5 years, there were no recurrence of osteomas and occurrence of mucus cysts.
Osteomas in nasal sinus grow slowly. X ray or CT scan is helpful to confirm the diagnosis and choose the surgical approach reasonably.
探讨鼻窦骨瘤的临床特点及手术治疗方法。
经鼻窦X线或CT扫描确诊为鼻窦骨瘤患者51例，均行手术切除治愈。采用眶上Lynch入路42例，鼻侧切开Moure入路4例，Caldwell-Luc入路3例，Dandy联合颅面径路2例。
所有病例手术切口均一期愈合，无脑脊液漏等并发症发生。所有病例随访6个月至5年，骨瘤无复发，无黏液囊肿发生。
鼻窦骨瘤生长缓慢。X线或CT扫描有助于明确诊断并合理选择手术入路。
