"L" 形技术在鼻内镜鼻窦手术中的应用：一种替代方法。
"L" shape technique for endoscopic sinus surgery: An alternative method.
机构信息
Department of Otolaryngology - Head and Neck Surgery, Humanitas Clinical and Research Center-IRCCS, Via Alessandro Manzoni, 56, 20089 Rozzano, MI, Italy; Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele, MI, Italy.
Department of Otolaryngology - Head and Neck Surgery, Humanitas Clinical and Research Center-IRCCS, Via Alessandro Manzoni, 56, 20089 Rozzano, MI, Italy; Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele, MI, Italy.
出版信息
Am J Otolaryngol. 2020 Sep-Oct;41(5):102471. doi: 10.1016/j.amjoto.2020.102471. Epub 2020 Apr 1.
BACKGROUND
Several techniques for performing ethmoidectomy have been reported. We describe a safe, effective and efficient technique during functional endoscopic sinus surgery (FESS). We present text, images and videos to illustrate our preferred technique during an antero-posterior ethmoidectomy and to provide a multimedia tool for educational purpose.
METHODS
A description of the technique without prospective or retrospective data is reported. A complete ethmoidectomy with an L-shape approach is described step-by-step, using the backbiting circular and miniature cutting forceps, with safe exposure of the lamina papyracea (LP) and skull base.
RESULTS
In our hands, the L-shape approach for chronic rhinosinusitis with or without polyposis, performed with punch circular cutting and miniature cutting forceps, allowed for a reliably safe and efficient ethmoidectomy.
CONCLUSION
The technique described can be added to the armamentarium of the endoscopic sinus surgeon.
背景
已经有几种进行筛窦切除术的技术被报道。我们描述了一种在功能性内窥镜鼻窦手术（FESS）中安全、有效且高效的技术。我们通过文字、图像和视频来展示我们在前后筛窦切除术时所偏好的技术，并提供一个多媒体工具用于教育目的。
方法
我们报告了一种没有前瞻性或回顾性数据的技术描述。使用反咬式环钻和微型咬切钳，以 L 形入路逐步完成完全的筛窦切除术，安全地暴露纸样板（LP）和颅底。
结果
在我们的手中，对于伴有或不伴有息肉的慢性鼻-鼻窦炎，使用环钻和微型咬切钳进行 L 形入路，可以可靠地实现安全且高效的筛窦切除术。
结论
所描述的技术可以添加到鼻内窥镜鼻窦手术医生的工具中。
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