Kristin J, Betz C S, Stelter K, Berghaus A, Leunig A
Department of Otorhinolaryngology, Head and Neck Surgery, University of Munich, Klinikum Grosshadern, Munich, Germany.
Rhinology. 2008 Mar;46(1):70-4.
This study evaluates non-standardized subjective patient satisfaction- and clinical outcome variables following frontal sinus obliteration with abdominal fat in endoscopically inaccessible mucoceles.
In a retrospective chart review, all patients who underwent frontal sinus obliteration for endoscopically inaccessible mucoceles at the Ludwig Maximilian University in Munich between 1996 and 2006 were identified and the postoperative outcomes were evaluated by a non-standardized patient questionnaire rating the degree of symptoms before and after surgery. Additionally, the postoperative clinical status and MRI-scans were analysed in a subgroup of patients.
Nine out of 10 patients were generally satisfied with the obliteration. Most had a significant improvement in their main symptoms and reported a decrease in annual days of missed work and a reduced use of disease-specific drugs. The sense of smell and the intensity of postnasal dripping remained subjectively unchanged. Seventy percent of patients complained about temporary pain at the abdominal donor side.
Based on these results, osteoplastic frontal sinus obliteration using abdominal fat seems to be a successful treatment option in patients in whom mucoceles of the frontal sinus are not endoscopically accessible.
本研究评估了在内镜无法到达的鼻窦黏液囊肿患者中，采用腹部脂肪进行额窦闭塞术后非标准化的主观患者满意度和临床结局变量。
在一项回顾性病历审查中，确定了1996年至2006年间在慕尼黑路德维希·马克西米利安大学因内镜无法到达的鼻窦黏液囊肿而接受额窦闭塞术的所有患者，并通过一份非标准化的患者问卷对手术前后症状程度进行评分，以此评估术后结局。此外，还对部分患者亚组的术后临床状况和磁共振成像扫描结果进行了分析。
10名患者中有9名对闭塞术总体满意。大多数患者的主要症状有显著改善，报告称每年旷工天数减少，特定疾病药物的使用量降低。嗅觉和鼻后滴漏的强度主观上保持不变。70%的患者抱怨腹部供区有暂时性疼痛。
基于这些结果，对于内镜无法到达的额窦黏液囊肿患者，采用腹部脂肪进行骨成形性额窦闭塞术似乎是一种成功的治疗选择。
