Belcher Ryan H, Ikeda Allison K, DelGaudio John M
1 Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, USA.
2 Emory University School of Medicine, Atlanta, GA, USA.
Am J Rhinol Allergy. 2018 Mar;32(2):98-100. doi: 10.1177/1945892418765002.
Background Endoscopic sinus surgery is performed for many reasons, most commonly for chronic rhinosinusitis refractory to medical treatment. A paradoxical middle turbinate is an anatomic variant that can hinder endoscopic access to the sinuses. No publication has addressed how to surgically treat a paradoxical middle turbinate. Method We present a basic endoscopic surgical approach to conservatively resect a paradoxical middle turbinate in order to improve access to the middle meatus and the sinuses while preserving support and function. Conclusion Conservative remodeling of the paradoxical middle turbinate can provide access to the sinuses while maintaining a significant portion of the middle turbinate.
内镜鼻窦手术的开展有多种原因，最常见的是用于治疗对药物治疗无效的慢性鼻-鼻窦炎。反常中鼻甲是一种解剖变异，可阻碍鼻窦的内镜检查。尚无文献探讨如何手术治疗反常中鼻甲。方法：我们提出一种基本的内镜手术方法，用于保守性切除反常中鼻甲，以改善对中鼻道和鼻窦的暴露，同时保留其支撑和功能。结论：对反常中鼻甲进行保守性重塑可在保留大部分中鼻甲的同时实现鼻窦的暴露。
