Sieśkiewicz Andrzej, Lyson Tomasz, Piszczatowski Bartosz, Rogowski Marek
Department of Otolaryngology-Head and Neck Surgery, University Hospital of Bialystok, Bialystok, Poland.
Ann Otol Rhinol Laryngol. 2012 Aug;121(8):503-9. doi: 10.1177/000348941212100802.
We assess the utility and limitations of an endoscopic technique in the treatment of osteomas that are considered difficult to manage endoscopically, ie, those located superiorly or laterally in the frontal sinus, extending beyond a virtual plane through the lamina papyracea, and we describe the principles of a surgical technique that facilitates removal of such tumors.
We performed a retrospective study on 8 patients with symptomatic frontal sinus osteomas, including tumors extending past the commonly recognized limits of endoscopic resection because of their size or site of attachment.
All tumors were removed by a purely transnasal endoscopic approach. No major complications were observed during or after the operation. All patients experienced improvement or total regression of their symptoms.
With appropriate instruments and specific endoscopic techniques, it is possible to resect osteomas that not long ago were deemed inaccessible to endoscopic surgeons. The commonly recognized limits of endoscopic treatment of such tumors may be exceeded in some cases; however, favorable anatomic conditions are decisive for a successful operation.
我们评估一种内镜技术在治疗被认为难以通过内镜处理的骨瘤中的效用和局限性，即位于额窦上方或外侧、超出通过纸样板的虚拟平面的骨瘤，并描述一种有助于切除此类肿瘤的手术技术原则。
我们对8例有症状的额窦骨瘤患者进行了回顾性研究，包括因大小或附着部位而超出内镜切除公认范围的肿瘤。
所有肿瘤均通过单纯经鼻内镜方法切除。术中及术后均未观察到重大并发症。所有患者的症状均有改善或完全消退。
使用合适的器械和特定的内镜技术，有可能切除不久前内镜外科医生认为无法触及的骨瘤。在某些情况下，此类肿瘤内镜治疗的公认范围可能会被突破；然而，有利的解剖条件对于手术成功至关重要。
