McFadden E A, Kany R J, Fink J N, Toohill R J
Department of Otolaryngology and Human Communication of Wisconsin, Milwaukee.
Laryngoscope. 1990 Oct;100(10 Pt 1):1043-6. doi: 10.1288/00005537-199010000-00003.
An 11-year retrospective study was conducted to evaluate the surgical treatment of sinusitis in aspirin-triad patients. Twenty-five patients were selected for surgery when their sinus disease and asthma progressed despite intense medical treatment. Sixteen patients had radiographic evidence of severe ethmoid disease, and their initial surgical procedures were limited (i.e., bilateral intranasal ethmoidectomies). Of these 16 patients, 6 required subsequent surgery for recurrent sinusitis. Nine of the 25 patients had radiographic evidence of severe antral, as well as ethmoid, disease. Their initial surgical procedures were radical, i.e., bilateral Caldwell-Luc operations with intranasal and transantral sphenoethmoidectomies. None of these 9 patients required further surgical treatment for control. This review indicates that if antral and sphenoid disease are detected in association with ethmoid involvement, a radical surgical approach is the operation of choice.
开展了一项为期11年的回顾性研究，以评估阿司匹林三联征患者鼻窦炎的手术治疗情况。25例患者在尽管接受了强化药物治疗但鼻窦疾病和哮喘仍进展时被选入手术治疗。16例患者有严重筛窦疾病的影像学证据，其初始手术操作有限（即双侧鼻内筛窦切除术）。在这16例患者中，6例因复发性鼻窦炎需要后续手术。25例患者中有9例有严重上颌窦以及筛窦疾病的影像学证据。他们的初始手术操作是根治性的，即双侧柯-陆氏手术加鼻内和经上颌窦蝶筛窦切除术。这9例患者中无一例需要进一步手术治疗以控制病情。该综述表明，如果在筛窦受累的同时检测到上颌窦和蝶窦疾病，根治性手术方法是首选手术方式。
