Gotlib Tomasz, Niemczyk Kazimierz, Balcerzak Jarosław, Krzeski Antoni, Held-Ziółkowska Marta
Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego.
Otolaryngol Pol. 2010 Jun;64(7):40-3. doi: 10.1016/S0030-6657(10)70008-1.
During last decades Draf III procedure gained popularity in treatment of different pathologies of the frontal sinus such as chronic sinusitis or benign tumors. We present a series of 10 patients treated with this procedure from a 2-year-period. Indications included: chronic rhinosinusitis--four patients, frontal sinus mucocele--four patients (one with destruction of the posterior table), osteoma--one patient (stage 3 according to Kennedy's grading system), and inverted papilloma--one patient (Krouse T3 lesion). Observation period ranged from 4 months to 2 years.
There were no early complications. Gradual narrowing of the created ostium was observed in all of the patients. This led to total obstruction in two, and stenosis (not allowing for passing with 4 mm endoscope) in another two patients. The patient after inverted papilloma removal showed no recurrence in 11 months follow-up.
Draf III procedure is alternative for external approach that can be used for treatment of chronic rhinosinusitis and benign frontal sinus tumors of different size.
在过去几十年中，Draf III手术在治疗额窦的不同病变（如慢性鼻窦炎或良性肿瘤）方面越来越受欢迎。我们展示了在两年期间接受该手术治疗的10例患者。适应症包括：慢性鼻-鼻窦炎——4例患者，额窦黏液囊肿——4例患者（1例伴有后板破坏），骨瘤——1例患者（根据肯尼迪分级系统为3期），以及内翻性乳头状瘤——1例患者（Krouse T3病变）。观察期为4个月至2年。
无早期并发症。所有患者均观察到所形成的窦口逐渐变窄。这导致2例患者完全阻塞，另外2例患者出现狭窄（4毫米内窥镜无法通过）。内翻性乳头状瘤切除术后的患者在11个月的随访中未出现复发。
Draf III手术是一种可用于治疗不同大小的慢性鼻-鼻窦炎和良性额窦肿瘤的外部手术替代方法。
