Selleck Anne Morgan, Desai Dipan, Thorp Brian D, Ebert Charles S, Zanation Adam M
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, 170 Manning Drive, CB #7070, Physician's Office Building, Room G-190, Chapel Hill, NC 27599-7070, USA.
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, 170 Manning Drive, CB #7070, Physician's Office Building, Room G-190, Chapel Hill, NC 27599-7070, USA; Department of Neurosurgery, University of North Carolina at Chapel Hill, 170 Manning Drive, CB #7070, Physician's Office Building, Room G-190, Chapel Hill, NC 27599-7070, USA.
Otolaryngol Clin North Am. 2016 Aug;49(4):1051-65. doi: 10.1016/j.otc.2016.03.026.
The most common primary tumors of the frontal sinus are osteomas and inverted papillomas, although a variety of other tumors involving this space have been reported. With the advent of new surgical techniques and instrumentation, an endoscopic approach to this region has become feasible. The preoperative assessment and decision making must take into account the complexity of frontal sinus anatomy, tumor type, tumor location, and associated attachments. These procedures allow adequate visualization, tumor removal, and postoperative monitoring, and preserve fairly normal sinus function. Open techniques may also be required and should be in the surgeon's armamentarium.
额窦最常见的原发性肿瘤是骨瘤和内翻性乳头状瘤，不过也有报道称该区域还存在多种其他肿瘤。随着新手术技术和器械的出现，对该区域采用内镜手术方法已成为可能。术前评估和决策必须考虑到额窦解剖结构的复杂性、肿瘤类型、肿瘤位置以及相关附着情况。这些手术方法能够实现充分的可视化、肿瘤切除及术后监测，并能保持鼻窦功能基本正常。开放手术技术可能也有必要，应纳入外科医生的手术手段之中。
