Folbe Adam J, Svider Peter F, Eloy Jean Anderson
Rhinology and Sinus Surgery, Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA; Department of Neurosurgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA.
Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA.
Otolaryngol Clin North Am. 2016 Aug;49(4):935-43. doi: 10.1016/j.otc.2016.03.017. Epub 2016 Jun 18.
Comprehension of the complex anatomic variants comprising the frontal sinus outflow tract is essential for successful surgical intervention. Deviation from sound technique increases the potential for a variety of deleterious sequelae, including recurrent disease as well as catastrophic intracranial and orbital injury. Furthermore, incomplete removal of elements occluding the frontal recess can result in severe stenosis that can increase the difficulty of further interventions. This review covers anatomic considerations that should be kept in mind when performing frontal sinus surgery.
了解构成额窦流出道的复杂解剖变异对于成功进行手术干预至关重要。偏离合理的技术会增加出现各种有害后遗症的可能性,包括疾病复发以及灾难性的颅内和眶部损伤。此外,未能完全清除阻塞额隐窝的结构会导致严重狭窄,从而增加进一步干预的难度。本综述涵盖了进行额窦手术时应牢记的解剖学注意事项。