Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Hallym University, #153 Kyo-Dong, Chuncheon, South Korea.
Am J Otolaryngol. 2011 Jul-Aug;32(4):304-7. doi: 10.1016/j.amjoto.2010.07.001. Epub 2010 Oct 2.
In chronic maxillary sinusitis, pathologic mucosas of the anterior and lateral walls of the maxillary sinus are difficult to remove. Trocar insertion to the canine fossa is the most commonly used procedure. In the present work, we report a method involving a balloon dilatation technique for treatment of intramaxillary lesions using a Foley catheter in chronic maxillary sinusitis and the outcomes of this approach.
Records of 34 patients with intramaxillary sinus lesions who underwent endoscopic sinus surgery were analyzed. After widening the natural ostium, a 10F Foley catheter was inserted through the widening ostium into the maxillary sinus. The intramaxillary lesion was removed by repeated balloon inflation and deflation of the Foley catheter. The patients were followed-up for at least 6 months after the surgery.
There were no significant intraoperative or postoperative complications. We found that the postoperative symptoms and resolution of the lesions in comparison to classic functional endoscopic sinus surgery were not different in authors' experiences.
The balloon dilatation technique using a Foley catheter is a minimally invasive and effective technique that is not associated with major complications in cases of intramaxillary lesions.
在慢性上颌窦炎中，上颌窦前壁和外侧壁的病理性黏膜难以清除。套管插入犬齿窝是最常用的方法。在目前的工作中，我们报告了一种使用 Foley 导管通过球囊扩张技术治疗慢性上颌窦炎和这种方法的结果的方法。
分析了 34 例经内镜鼻窦手术治疗的上颌窦内病变患者的记录。在扩大自然口后，通过扩大的口将 10F Foley 导管插入上颌窦。通过反复充气和放气 Foley 导管来清除上颌窦内病变。术后至少随访 6 个月。
术中或术后无明显并发症。我们发现，与经典的功能性内窥镜鼻窦手术相比，作者的经验中术后症状和病变的缓解没有不同。
使用 Foley 导管的球囊扩张技术是一种微创且有效的技术，在治疗上颌窦内病变时不会发生严重并发症。
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