难治性慢性鼻-鼻窦炎的扩大内镜鼻窦手术与开放鼻窦手术
Extended Endoscopic and Open Sinus Surgery for Refractory Chronic Rhinosinusitis.
作者信息
Eloy Jean Anderson, Marchiano Emily, Vázquez Alejandro
机构信息
Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.
Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
出版信息
Otolaryngol Clin North Am. 2017 Feb;50(1):165-182. doi: 10.1016/j.otc.2016.08.013.
This review discusses extended endoscopic and open sinus surgery for refractory chronic rhinosinusitis. Extended maxillary sinus surgery including endoscopic maxillary mega-antrostomy, endoscopic modified medial maxillectomy, and inferior meatal antrostomy are described. Total/complete ethmoidectomy with mucosal stripping (nasalization) is discussed. Extended endoscopic sphenoid sinus procedures as well as their indications and potential risks are reviewed. Extended endoscopic frontal sinus procedures, such the modified Lothrop procedure, are described. Extended open sinus surgical procedures, such as the Caldwell-Luc approach, frontal sinus trephine procedure, external frontoethmoidectomy, frontal sinus osteoplastic flap with or without obliteration, and cranialization, are discussed.
本综述讨论了难治性慢性鼻-鼻窦炎的扩大内镜鼻窦手术和开放性鼻窦手术。描述了扩大的上颌窦手术，包括内镜下上颌窦大造口术、内镜改良内侧上颌骨切除术和下鼻道造口术。讨论了带黏膜剥脱（鼻腔化）的全筛窦切除术。回顾了扩大的内镜蝶窦手术及其适应证和潜在风险。描述了扩大的内镜额窦手术，如改良的Lothrop手术。讨论了扩大的开放性鼻窦手术，如Caldwell-Luc手术、额窦环钻术、外部额筛窦切除术、带或不带闭塞的额窦骨成形瓣手术以及颅骨化手术。
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