Gras-Cabrerizo Juan R, Martel-Martin Maria, Montserrat-Gili Joan R, Pardo-Muñoz Laura, Prats-Morera Laura, Ademá-Alcover Joan M, Massegur-Solench Humbert
Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona.
Department of Otolaryngology/Head and Neck Surgery, Sant Joan Despí Moisès Broggi de Barcelona.
J Craniofac Surg. 2019 Jun;30(4):996-999. doi: 10.1097/SCS.0000000000005476.
The aim of this study is to demonstrate the effectiveness of the Endoscopic Medial Maxillectomy technique with the preservation of the nasal anatomy and function of the inferior turbinate.
From January 2005 to December 2016, the authors performed 27 Endoscopic Medial Maxillectomy with preservation of inferior turbinate on 26 patients. The most frequent pathologies diagnosed were inverted papillomas (13/27) and antrochoanal polyps (7/27). There were 21 primary lesions and 6 patients had been previously treated. There were 19 males and 7 females. On 11 patients the authors could perform an acoustic rhinometry at 4 months postoperatively.
The authors did not find any recurrences. In all cases the authors note the presence of the C-notch being the narrowest area of the nasal cavity, on both the surgical and nonsurgical nasal fossa. The mean area for the C-notch in the nonsurgical nasal cavities was 0.50 cm (0.18-0.82) and it was 0.57 cm (0.08-1.06) in the surgical nasal cavities. The increase of the C-notch after nasal decongestion was 0.10 cm in nonsurgical cavities and it was 0.03 cm in the surgical cavities. The mean distance for the C-notch was 2.18 cm and 2.36 cm before and after nasal decongestion in the nonsurgical fossae. In the surgical cavities were 2.31 and 2.37 cm respectively.
The authors' rhinometrics data suggest that Endoscopic Medial Maxillectomy with preservation of inferior turbinate is an effective technique that preserves the anatomic structure and the functions of the inferior turbinate after its resection and reposition.
本研究的目的是证明保留鼻腔解剖结构和下鼻甲功能的内镜下内侧上颌骨切除术的有效性。
2005年1月至2016年12月，作者对26例患者实施了27例保留下鼻甲的内镜下内侧上颌骨切除术。最常见的诊断病理为内翻性乳头状瘤（13/27）和鼻窦后鼻孔息肉（7/27）。有21例原发性病变，6例患者曾接受过治疗。男性19例，女性7例。11例患者在术后4个月进行了鼻声反射测量。
作者未发现任何复发情况。在所有病例中，作者注意到无论是手术侧还是非手术侧鼻腔，C形切迹都是鼻腔最狭窄的区域。非手术侧鼻腔C形切迹的平均面积为0.50平方厘米（0.18 - 0.82），手术侧鼻腔为0.57平方厘米（0.08 - 1.06）。鼻腔减充血后，非手术侧鼻腔C形切迹增加0.10厘米，手术侧鼻腔增加0.03厘米。非手术侧鼻腔在鼻腔减充血前后C形切迹的平均距离分别为2.18厘米和2.36厘米。手术侧鼻腔分别为2.31厘米和2.37厘米。
作者的鼻测量数据表明，保留下鼻甲的内镜下内侧上颌骨切除术是一种有效的技术，在切除和重新定位后能保留下鼻甲的解剖结构和功能。
