最大程度的鼻内镜鼻窦手术技术在慢性鼻-鼻窦炎中的作用

Role of maximal endoscopic sinus surgery techniques in chronic rhinosinusitis.

作者信息

Lee John M, Chiu Alexander G

机构信息

Department of Otolaryngology-Head & Neck Surgery, University of Toronto, St Michael's Hospital, 30 Bond Street, 8C-118, Toronto, ON, Canada M5B 1W8.

出版信息

Otolaryngol Clin North Am. 2010 Jun;43(3):579-89, ix. doi: 10.1016/j.otc.2010.02.014.

DOI:10.1016/j.otc.2010.02.014

PMID:20525512

Abstract

There remains a continued debate regarding the extent of endoscopic sinus surgery (ESS) required for patients with chronic rhinosinusitis (CRS). By examining anatomic, etiologic, and postoperative factors that may lead to recalcitrant CRS, this article aims to highlight some of the reasons for performing maximal techniques in ESS. This concept is further expanded in various surgical maneuvers including wide maxillary antrostomy, extended frontal sinus procedures, and intraoperative computed tomography-guided ESS.

摘要

关于慢性鼻-鼻窦炎（CRS）患者所需的鼻内镜鼻窦手术（ESS）范围，目前仍存在持续的争论。通过研究可能导致难治性CRS的解剖学、病因学及术后因素，本文旨在强调在ESS中采用最大化技术的一些原因。这一概念在各种手术操作中得到进一步扩展，包括广泛的上颌窦造瘘术、扩大的额窦手术以及术中计算机断层扫描引导下的ESS。