Ji Yongjin, Xue Jinmei, Guan Fangling, Zhang Yanting, Shengrui Lv, Zhao Changqing
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jun;29(11):1009-11.
To investigate the application of endoscopic nasal lateral wall dissection in lesions of the maxillary sinus.
Ten hospitalized patients with the maxillary sinus lesions were treated with the endoscopic nasal lateral wall dissection.
All 10 patients were unilateral invasion. Among them, 7 cases were inverted papilloma, 2 cases were recurrent antrochoanal polyps, 1 case was sinusal tooth. The tumors and antrochoanal polyps originated from the every part of the maxillary sinus wall during operation, especially from the anterior and media wall. During 10-62 months follow-up,epithelization of nasal occured and the shape of inferior turbinate was well. All of them had no epiphora.
Endoscopic nasal lateral wall dissection can remain the function of nasal lacrimal duct and nasal cavity,and may provide a new minimally invasive approach for complete resection of lesions of nasal cavity and the maxillary sinus.
探讨鼻内镜下鼻外侧壁切开术在上颌窦病变中的应用。
对10例住院的上颌窦病变患者采用鼻内镜下鼻外侧壁切开术治疗。
10例均为单侧病变。其中，7例为内翻性乳头状瘤，2例为复发性上颌窦后鼻孔息肉，1例为鼻窦牙。术中见肿瘤及上颌窦后鼻孔息肉起源于上颌窦壁各部位，尤其是前壁和内侧壁。随访10 - 62个月，鼻腔上皮化良好，下鼻甲形态正常，均无溢泪。
鼻内镜下鼻外侧壁切开术可保留鼻泪管及鼻腔功能，为鼻腔及上颌窦病变的彻底切除提供一种新的微创方法。
