Banks Catherine G, Garcia Jaime A P, Grayson Jessica, Yeon Cho Do, Woodworth Bradford A
1 Department of Otolaryngology, University of Alabama-Birmingham, Birmingham, Alabama.
Am J Rhinol Allergy. 2018 Sep;32(5):346-349. doi: 10.1177/1945892418782222. Epub 2018 Jun 28.
Background The osteoplastic flap provides access to pathology of the frontal sinus and is often performed with obliteration, which can result in significant long-term complications. Objective To describe the authors' approach to osteoplastic flap without obliteration. Methods Descriptive analysis. Results Osteoplastic flap without obliteration preserves frontal sinus function while permitting direct access to the frontal sinus. In this study, we demonstrate a combined nonobliterated approach, accessing the frontal sinus with a Draf III approach to remove a large frontal sinus osteoma. Conclusion The approach provides excellent exposure for large tumors not otherwise accessible via purely endoscopic procedures, permits improved surveillance, and minimizes long-term complications of obliterated sinuses.
骨成形瓣可用于处理额窦病变，且常与额窦闭塞术联合进行，这可能导致严重的长期并发症。目的：描述作者不进行额窦闭塞术的骨成形瓣手术方法。方法：描述性分析。结果：不进行额窦闭塞术的骨成形瓣手术在允许直接进入额窦的同时保留了额窦功能。在本研究中，我们展示了一种联合非闭塞手术方法，采用Draf III入路进入额窦以切除一个大型额窦骨瘤。结论：该手术方法为无法通过单纯内镜手术触及的大型肿瘤提供了极佳的暴露，有助于改善监测，并将额窦闭塞引起的长期并发症降至最低。
