Xia J, Ma Y X, Tian H, Zhang R X
Department of Otorhinolaryngology Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing,100050,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Aug 20;30(16):1271-1275. doi: 10.13201/j.issn.1001-1781.2016.16.003.
The aim of this study is to explore the feasibility and results of surgical removal of maxillary sinus and adjacent lesions via extended inferior meatal approach by reversing inferior turbinate.Among these 28 cases,there were 9 cases of maxillary cysts(4 of which with oroantral fistula),2 cases of odontogenic maxillary sinusitis(1 of which with oroantral fistula),3 cases of maxillary sinus cysts,2 cases of antrochoanal polyps,5 cases of maxillary sinus inverted papilloma,1 case of maxillary sinus inverted papilloma with infiltrative squamous cell carcinoma(moderately differentiated),4 cases of inferior orbital fracture,1 case of anterior maxillary sinus wall fracture,and 1 case of infratemporal fossa cysts with fungal maxillary sinusitis.All operations were conducted via extended inferior meatal approach.All patients did not have intraoperative complications,and were free of recurrence after the 3 to 36 months postoperative follow-up.The extended inferior meatal approach by reversing inferior turbinate can deal with all aspects of the maxillary sinus and retromaxillary lesions.This procedure has a clear vision and high successful rate.
本研究旨在探讨通过下鼻甲翻转扩大下鼻道入路手术切除上颌窦及相邻病变的可行性及效果。这28例患者中，上颌囊肿9例（其中4例伴有口鼻瘘），牙源性上颌窦炎2例（其中1例伴有口鼻瘘），上颌窦囊肿3例，鼻后孔息肉2例，上颌窦内翻性乳头状瘤5例，上颌窦内翻性乳头状瘤伴浸润性鳞状细胞癌（中度分化）1例，眶下壁骨折4例，上颌窦前壁骨折1例，颞下窝囊肿伴真菌性上颌窦炎1例。所有手术均通过扩大下鼻道入路进行。所有患者术中均无并发症，术后3至36个月随访均无复发。下鼻甲翻转扩大下鼻道入路可处理上颌窦及上颌后病变的各个方面。该手术视野清晰，成功率高。
