Ji Yongjin, Li Qingfeng, Han Jianxing, Zhao Changqing
Department of Otorhinolarygology, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan, 030001, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Sep;26(17):798-800.
To evaluate the effectiveness and usefulness of transnasal endoscopic surgery for the treatment of maxillary cysts.
Transnasal endoscopic surgery was performed in 13 patients with maxillary cysts that extended to the maxillary sinus or the nasal bottom. Five patients had a radicular cyst, three patients had a dentigerous cyst, three patients had a nasolabial cyst and two patients had a median cyst. After the resection of anterior edge of the inferior turbinate or the nasal bottom, the lateral wall of the inferior nasal meatus was opened. Then, the cyst wall of the maxillary sinus was partially or completely removed under the endoscope.
The cyst walls were completely or partial removed in 13 patients with maxillary cysts. There were no complications, and postoperative courses were uneventful. The follow-up period ranged from 6 to 36 months, and no recurrence were noted in any of the cases.
Endoscopic transnasal surgery for the maxillary cyst is less invasive than conventional dental approach, and most of the affected teeth can be preserved. This technique appears to be a simple and highly effective surgical treatment for the treatment of patients with maxillary cysts that extend to the maxillary sinus or the nasal bottom.
评估经鼻内镜手术治疗上颌囊肿的有效性和实用性。
对13例上颌囊肿累及上颌窦或鼻底的患者进行经鼻内镜手术。其中5例为根尖囊肿，3例为含牙囊肿，3例为鼻唇囊肿，2例为正中囊肿。切除下鼻甲前缘或鼻底后，打开下鼻道外侧壁。然后，在内窥镜下部分或完全切除上颌窦囊肿壁。
13例上颌囊肿患者的囊肿壁被完全或部分切除。无并发症发生，术后病程顺利。随访时间为6至36个月，所有病例均未复发。
经鼻内镜手术治疗上颌囊肿比传统牙科方法侵入性小，且大部分患牙可得以保留。该技术似乎是治疗上颌囊肿累及上颌窦或鼻底患者的一种简单且高效的手术方法。
