He Shuangba, Bakst Richard L, Guo Tao, Sun Jingwu
Department of Otolaryngology, Head and Neck Surgery, Anhui Provincial Hospital, Anhui Medical University, Hefei, 230001, Anhui Province, People's Republic of China,
Eur Arch Otorhinolaryngol. 2015 Oct;272(10):2933-8. doi: 10.1007/s00405-014-3248-3. Epub 2014 Aug 22.
An external approach for resection of sinonasal tumors is associated with increased morbidity. Therefore, we employed a modified transnasal endoscopic maxillectomy combined with pre and/or postoperative radiotherapy for early stage maxillary carcinomas. It aims to evaluate our early experience with endoscopic resection of selected malignant sinonasal tumors. The medical and radiology records of patients who underwent endonasal endoscopic resection of malignant sinonasal tumors between 2008 and 2012 were retrospectively reviewed. Ten cases of selected malignant tumor were performed to resect by modified transnasal endoscopic maxillectomy. All the patients were without evidence of disease at a mean follow-up of 26.8 months. No major complications were recorded. The mean hospitalization stay was 6.6 days. In very carefully selected cases of malignant tumors, modified transnasal endoscopic maxillectomy is acceptable. The postoperative complication rate is low, cosmetic outcome is excellent and patients do not require a long hospitalization.
鼻窦肿瘤切除的外部入路与发病率增加相关。因此，我们采用改良经鼻内镜上颌骨切除术联合术前和/或术后放疗治疗早期上颌窦癌。其目的是评估我们在经内镜切除特定鼻窦恶性肿瘤方面的早期经验。回顾性分析了2008年至2012年间接受鼻内镜下鼻窦恶性肿瘤切除术患者的医学和放射学记录。对10例选定的恶性肿瘤患者进行了改良经鼻内镜上颌骨切除术。所有患者在平均26.8个月的随访中均无疾病证据。未记录到重大并发症。平均住院时间为6.6天。在经过非常严格挑选的恶性肿瘤病例中，改良经鼻内镜上颌骨切除术是可行的。术后并发症发生率低，美容效果极佳，患者无需长时间住院。
