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[额窦炎性病变患者筛窦迷路手术清理的形态学依据]

[Morphological substantiation of surgical sanation of the ethmoidal labyrinth in patients with inflammatory pathology of frontal sinuses].

作者信息

Mashkova T A

出版信息

Vestn Otorinolaringol. 2010(5):54-5.

Abstract

This study had the objective of evaluating intraoperative characteristics of sanation surgery for the correction of structural elements of ethmoid bone in 131 patients presenting with frontitis. Moreover, it included histological examination of the resected tissues. It was shown that chronic frontitis is associated not only with serious morphological changes in mucous membrane of the respective frontal sinusis and along the entire length of ethmoidal labyrinth but also with necrobiotic processes in the ethmoid bone plates, depending on the state of the ostiomeatal complex. It is supposed that these findings may account for irregular or low effect of conservative therapy of chronic frontitis and confirm the necessity of surgical sanation of ethmoidal labyrinth with due regard for the state of the ostiomeatal complex.

摘要

本研究旨在评估131例患有额窦炎患者的筛骨结构矫正术中修复手术的术中特征。此外,还包括对切除组织的组织学检查。结果表明,慢性额窦炎不仅与相应额窦黏膜以及整个筛窦迷路全长的严重形态学改变有关,还与筛骨板的坏死过程有关,这取决于窦口鼻道复合体的状态。据推测,这些发现可能解释了慢性额窦炎保守治疗效果不规则或不佳的原因,并证实了在充分考虑窦口鼻道复合体状态的情况下对筛窦迷路进行手术修复的必要性。

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