Weeden Alyssa Marie, Degner Daniel Alvin
Animal Surgical Center of Michigan, 5045 Miller Road, Flint, MI 48507, USA.
Animal Surgical Center of Michigan, 5045 Miller Road, Flint, MI 48507, USA.
Vet Clin North Am Small Anim Pract. 2016 Jul;46(4):719-33. doi: 10.1016/j.cvsm.2016.02.004.
The nasal cavity and sinuses may be exposed primarily via a dorsal or ventral surgical approach. Surgical planning involves the use of advanced imaging, such as computed tomography or MRI. Surgical treatment of lesions of the nasal cavity usually is limited to benign lesions or can also be used in combination with adjunctive therapy, such as radiation therapy. Extreme caution must be exercised with a dorsal approach to the nasal cavity to avoid complications of inadvertent penetration into the brain case. Gentle tissue handling and careful closure of the mucoperiosteum must be exercised following a ventral approach to minimize the risk of oronasal fistula formation.
鼻腔和鼻窦主要可通过背侧或腹侧手术入路暴露。手术规划需要使用先进的影像学检查，如计算机断层扫描或磁共振成像。鼻腔病变的手术治疗通常限于良性病变，也可与辅助治疗（如放射治疗）联合使用。采用鼻腔背侧入路时必须格外小心，以避免意外穿入颅腔的并发症。采用腹侧入路后，必须轻柔处理组织并仔细缝合黏膜骨膜，以尽量降低口鼻瘘形成的风险。
