Ji Junfeng, Zhou Mei, Li Zeqing, Wang Tianyou, Cheng You, Wang Qiuping
Department of Otolaryngology and Head Neck Surgery, Jinling Hospital, Nanjing, China.
Int Surg. 2013 Apr-Jun;98(2):149-55. doi: 10.9738/CC37.
The frontal sinus surgery is difficult to perform but the ethmoid bulla is a relative, constant landmark in the middle turbinate that can improve the surgery. The purpose of this study was to evaluate the validity, security, and predominance of approaches to the frontal sinus via the route anterior to the ethmoid bulla. The data from 370 endoscopic frontal sinus surgery cases from our center were integrated and retrospectively analyzed. Three hundred twenty-nine patients underwent frontal sinus surgery via the route anterior to the ethmoid bulla. An additional 27 patients underwent frontal sinus surgery with mini-trephination, 13 patients with the Draf II procedure, and 1 patient had applied MELP (modified endoscopic Lothrop procedure). No serious complications occurred; however, there were 3 cases of eyelid ecchymosis and 1 case of anterior ethmoid artery bleeding. In all, 319 patients (86.2%) were cured, an improvement was noted in 36 of the patients (9.7%), and there was no improvement in 15 patients (4.1%). Frontal sinus surgery via the route anterior to the ethmoid bulla is valid, relatively safe, and can be applied in most cases involving frontal disease.
额窦手术操作困难，但筛泡是中鼻甲相对恒定的标志性结构，有助于手术操作。本研究旨在评估经筛泡前方入路行额窦手术的有效性、安全性及优势。整合并回顾性分析了本中心370例鼻内镜下额窦手术病例的数据。其中329例患者经筛泡前方入路行额窦手术。另外27例患者行额窦手术时采用了微型环钻术，13例采用了Draf II手术，1例采用了改良内镜Lothrop手术（MELP）。未发生严重并发症；然而，有3例出现眼睑瘀斑，1例发生筛前动脉出血。总体而言，319例患者（86.2%）治愈，36例患者（9.7%）病情改善，15例患者（4.1%）无改善。经筛泡前方入路行额窦手术有效、相对安全，可应用于大多数累及额部疾病的病例。
