Kasamatsu Atsushi, Fukumoto Chonji, Higo Morihiro, Endo-Sakamoto Yosuke, Ogawara Katsunori, Shiiba Masashi, Tanzawa Hideki, Uzawa Katsuhiro
Department of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan ; Department of Clinical Molecular Biology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Department of Clinical Molecular Biology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Case Rep Dent. 2014;2014:216828. doi: 10.1155/2014/216828. Epub 2014 Apr 6.
Introduction. Large maxillary cysts occasionally expand into the maxilla and erode the maxillary sinus and nasal cavity. The Caldwell-Luc procedure is the recommended treatment for large maxillary sinus cysts. However, it is hard to preserve the nasal space in the case of large maxillary sinus cysts that penetrate into the nasal cavity. Methods. A 22-year-old man who had large maxillary sinus cysts was referred to our department for a surgical treatment. After removing the cyst from the maxillary sinus using the Caldwell-Luc procedure, we used nasal airway and balloon catheter devices to preserve the space of the inferior nasal meatus and maxillary sinus. These devices were removed 10 days postoperatively. Insertion and removal of both devices were simple and painless. Findings. The nasal airway and balloon catheter devices were useful for performing maxillary sinus surgery to remove large cysts. Our method was satisfactorily safe and was an effective minimally invasive treatment that preserved the space of the inferior nasal meatus and maxillary sinus.
引言。大型上颌囊肿偶尔会扩展至上颌骨，并侵蚀上颌窦和鼻腔。考德威尔-卢氏手术是治疗大型上颌窦囊肿的推荐方法。然而，对于侵入鼻腔的大型上颌窦囊肿，很难保留鼻腔空间。方法。一名患有大型上颌窦囊肿的22岁男性被转诊至我科接受手术治疗。使用考德威尔-卢氏手术从上颌窦切除囊肿后，我们使用鼻气道和球囊导管装置来保留鼻下道和上颌窦的空间。这些装置在术后10天取出。两种装置的插入和取出操作简单且无痛。结果。鼻气道和球囊导管装置有助于进行上颌窦手术以切除大型囊肿。我们的方法安全性令人满意，是一种有效的微创治疗方法，可保留鼻下道和上颌窦的空间。
