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额窦流出道损伤的处理方法

Approach to Frontal Sinus Outflow Tract Injury.

作者信息

Kim Yong Hyun, Kim Baek-Kyu

机构信息

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

出版信息

Arch Craniofac Surg. 2017 Mar;18(1):1-4. doi: 10.7181/acfs.2017.18.1.1. Epub 2017 Mar 25.

DOI:10.7181/acfs.2017.18.1.1
PMID:28913294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5556736/
Abstract

Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications. This paper aimed to examine the surrounding anatomy, diagnosis, and treatment of FSOT.

摘要

额窦流出道(FSOT)损伤可能发生在额窦骨折和鼻筛眶骨折的病例中。由于FSOT内衬有负责从额窦到鼻腔通道的黏膜,未经治疗的损伤可能导致诸如黏液囊肿形成或慢性额窦炎等并发症。因此,FSOT的评估具有临床意义,FSOT主要通过计算机断层扫描或术中染色来诊断。外科医生在治疗FSOT损伤时有几种选择,他们需要熟悉这些选择以便采取适当的治疗措施,从而遵循FSOT的治疗原则,即安全鼻窦原则,并减少并发症。本文旨在研究FSOT的周围解剖结构、诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/2ebfd19977a4/acfs-18-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/796e520210d2/acfs-18-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/5cd5990da4c5/acfs-18-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/2ebfd19977a4/acfs-18-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/796e520210d2/acfs-18-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/5cd5990da4c5/acfs-18-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ea/5556736/2ebfd19977a4/acfs-18-1-g003.jpg

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本文引用的文献

1
Frontal sinus fractures with suspected outflow tract obstruction: a new approach for sinus preservation.怀疑有流出道阻塞的额窦骨折:一种保留鼻窦的新方法。
J Craniomaxillofac Surg. 2015 Jan;43(1):1-6. doi: 10.1016/j.jcms.2014.09.013. Epub 2014 Oct 29.
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额窦骨折治疗中鼻窦保留的当前进展。
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Anatomical and computed tomographic analysis of the interaction between the uncinate process and the agger nasi cell.钩突与鼻丘气房之间相互作用的解剖学及计算机断层扫描分析
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The management of frontal sinus fractures.
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The agger nasi cell: the key to understanding the anatomy of the frontal recess.鼻丘气房:理解额隐窝解剖结构的关键。
Otolaryngol Head Neck Surg. 2003 Nov;129(5):497-507. doi: 10.1016/S0194-59980301581-X.
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