Ma Youxiang, Ding Xiuyong, Tian Hao, Dong Baocheng
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. Email:
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Sep;49(9):717-20.
To explore the feasibility of the extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach.
Eight patients underwent extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach for maxillary sinus lesions. The indications, surgical management and outcomes of the surgery were presented.
There were 2 cases of maxillary dentigerous cyst with oroantral fistula, 2 cases of antrochoanal polyp, 2 cases of maxillary sinus inverted papillomas, 1 case of odontogenic maxillary sinusitis with oroantral fistula, and 1 case of maxillary sinus mucocele. All patients underwent extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach without intraoperative complication, with good access to the lesions. Complete resection could be achieved through this approach, no postoperative complications occurred except one patient had a delayed wound healing of inferior turbinate, all patients were free of recurrence with the average postoperative follow-up of 7.8 months (range 4-12 months).
The extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach is recommended for some maxillary pathology owing to its good access to the lesions and complete resection.
探讨经下鼻甲翻转入路扩大下鼻道上颌窦造瘘术的可行性。
8例患者因上颌窦病变行经下鼻甲翻转入路扩大下鼻道上颌窦造瘘术。介绍了手术适应证、手术操作及手术效果。
上颌含牙囊肿伴口腔上颌窦瘘2例，上颌窦后鼻孔息肉2例，上颌窦内翻性乳头状瘤2例，牙源性上颌窦炎伴口腔上颌窦瘘1例，上颌窦黏液囊肿1例。所有患者均行经下鼻甲翻转入路扩大下鼻道上颌窦造瘘术，术中无并发症，病变暴露良好。通过该入路可实现完整切除，除1例患者下鼻甲伤口愈合延迟外，无术后并发症发生，所有患者均无复发，术后平均随访7.8个月（4～12个月）。
经下鼻甲翻转入路扩大下鼻道上颌窦造瘘术因对病变暴露良好且能完整切除，推荐用于某些上颌病变。
