Thomassin J M, Korchia D
Service ORL, Hôpital Sainte-Marguerite, Marseille.
Ann Otolaryngol Chir Cervicofac. 1991;108(8):455-64.
From 1984 to 1990, we carried out 222 endonasal ethmoidectomies in 116 patients with invalidating nasosinusal polyposis who had undergone multiple treatments. Out of these, 49 suffered from asthma and 17 from Widal's disease. We were able to follow up 109 patients with an average time lapse of 14.2 months, the extreme values being 3 months and 6 years. Complete ethmoidectomy was performed in all case, using a combination of surgical microscope and 30% rigid optics. The low number of complications, the high percentage of good results and the absence of respiratory functional aggravation currently give endonasal ethmoidectomy a place of choice for the management of patients with polyposis, in the absence of any true etiological treatment. We associate non-intolerant asthmatics, for whom we have obtained the best results, to the conventional indication. Conversely, Widal's disease is a more disputable indication, and its high percentage of failures justifies the continuation of basic research.
1984年至1990年，我们对116例患有无效性鼻息肉病且接受过多种治疗的患者实施了222例鼻内筛窦切除术。其中，49例患有哮喘，17例患有伤寒。我们对109例患者进行了随访，平均随访时间为14.2个月，最短为3个月，最长为6年。所有病例均使用手术显微镜和30%硬性光学设备联合进行了完整的筛窦切除术。并发症数量少、良好结果比例高以及呼吸功能无加重，目前使鼻内筛窦切除术在缺乏真正病因治疗的情况下，成为息肉病患者治疗的首选方法。我们将对非不耐受性哮喘患者（我们已取得最佳治疗效果）纳入常规适应证。相反，伤寒是一个更具争议的适应证，其高失败率证明基础研究仍需继续。
