Fombeur J P, Koubbi G, Seguin D, Ebbo D, Lecomte F, Laurier J N
Hôpital Saint-Michel, Paris.
Ann Otolaryngol Chir Cervicofac. 1989;106(7):515-7.
Middle meatotomies were essentially performed during the second period of our study from 1985 to 1987. The typical indication was for closed sinusitis, in order to allow aeration and satisfactory drainage. This was performed with an optical system at 30 degrees. The technique used was an anterior approach via total unciformectomy or a posterior approach using an Ostrum forceps. Good results, i.e. meatotomies which remained patent, were obtained in 80% of cases. The mean period of follow up was 3 years (6 months to 4 years). There were few complications overall for this form of endonasal surgery, though the possibility of damage to the lacrymal duct does exist. Synechiae were the most important functional complication and need to be prevented by meticulous post-operative care.
在我们1985年至1987年研究的第二阶段主要进行了中鼻道切开术。典型适应症是慢性鼻窦炎，目的是实现通气和良好引流。该手术在30度光学系统下进行。所采用的技术是通过全筛窦切除术的前路入路或使用奥斯特伦姆钳的后路入路。80%的病例取得了良好效果，即中鼻道切开术保持通畅。平均随访期为3年（6个月至4年）。尽管存在泪道损伤的可能性，但这种鼻内手术总体并发症较少。粘连是最重要的功能并发症，需要通过精心的术后护理来预防。
