Li J, Wu Y Q, Li X M, Di B, Wang L M
Department of Otorhinolaryngology Head and Neck Surgery,Bethune International Peace Hospital,Shijiazhuang,050082,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Aug 20;30(16):1317-1319. doi: 10.13201/j.issn.1001-1781.2016.16.014.
The aim of this study is to investigate the safety and practicability of the trans-horizontal basal lamella sphenoidotomy approach in the treatment of the isolated sphenoid sinus disease.Sphenoidotomy and posterior-ethmoidotomy by endoscopic trans-horizontal basal lamella approach were performed in 64 patients who were diagnosed with isolated sphenoid sinus.The horizontal course of the basal lamella is perforated and opened,and the superior meatus is entered.Then sphenoidotomy and posterior-ethmoidotomy were performed by the landmark superior turbinate.All patients were successfully operated without serious complications.After 1 year follow-up,no recurrence were found in 30 cases of fungal sphenoid sinusitis patients,12 cases of chronic sphenoidal sinusitis patients,13 cases of sphenoid sinus cyst patients,6 cases of sphenoid sinus polyps patients,and 3 cases of sphenoid sinus inverted papilloma patients.The ostium of sphenoid sinus maintained well without atresia.Trans-horizontal basal lamella approach to sphenoid sinus is safe and effective in the treatment of isolated lesion,and the opening of sphenoid sinus and posterior-ethmoid sinus were enlarged better by this technique.
本研究旨在探讨经水平基底板蝶窦开放术治疗孤立性蝶窦疾病的安全性和实用性。对64例诊断为孤立性蝶窦疾病的患者采用经水平基底板入路行蝶窦开放术和后筛窦开放术。在水平走行的基底板上穿孔并打开，进入上鼻道。然后以上鼻甲为标志行蝶窦开放术和后筛窦开放术。所有患者手术均成功，无严重并发症。随访1年，30例真菌性蝶窦炎患者、12例慢性蝶窦炎患者、13例蝶窦囊肿患者、6例蝶窦息肉患者和3例蝶窦内翻性乳头状瘤患者均无复发。蝶窦开口保持良好，无闭锁。经水平基底板入路治疗孤立性蝶窦病变安全有效，该技术能更好地扩大蝶窦和后筛窦开口。
