Watson D J, Griffiths M V
Southmead Hospital, Westbury-on-Tryn, Bristol.
J Laryngol Otol. 1988 Sep;102(9):802-4. doi: 10.1017/s0022215100106504.
Each of the three types of ethmoidectomy: intra-nasal, trans-antral and external, has its supporters and detractors who argue about the efficacy and safety of the procedures. One hundred and five ethmoidectomies for nasal polyps are reviewed retrospectively. Regardless of the approach used, approximately half of these had recurrence of polyps and some patients had several revision operations. There were six complications specific to the surgery. None was serious but most occurred with external ethmoidectomy. The limitations of ethmoidectomy for nasal polyps, the reasons for the good safety record and the best means of training juniors in the procedures are discussed.
三种筛窦切除术(鼻内、经鼻窦和外部)中的每一种都有其支持者和反对者,他们就这些手术的疗效和安全性展开争论。对105例因鼻息肉进行的筛窦切除术进行了回顾性研究。无论采用何种手术方式,其中约一半出现了息肉复发,一些患者还进行了多次翻修手术。该手术有六种特定的并发症。均不严重,但大多数发生在外部筛窦切除术中。文中讨论了鼻息肉筛窦切除术的局限性、良好安全记录的原因以及培训初级医生进行这些手术的最佳方法。