Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, 160 Ilsimri, Hwasun, Jeonnam, 519-809, South Korea.
Eur Arch Otorhinolaryngol. 2020 Sep;277(9):2469-2473. doi: 10.1007/s00405-020-06021-8. Epub 2020 May 4.
The purpose of this study was to describe our experience in the surgical treatment of frontal sinus osteomas.
This study involved 18 patients who underwent surgery for frontal sinus osteoma between January 2016 and December 2019. Demographic characteristics, site and size of osteoma, presenting symptoms, frontal sinus osteoma grading system, presence of frontal sinusitis, surgical methods, treatment outcome, operation time, and complications were reviewed.
The endoscopic approach was performed in all patients except one. Among patients who underwent an endoscopic approach, endoscopic sinus surgery was performed in ten patients and endoscopic-modified Lothrop procedure was performed in seven patients. The mean size of the frontal sinus osteoma was 1.5 ± 0.7 cm. According to the frontal sinus osteoma grading system, grade III (n = 9, 50.0%) was the most common, followed by grade II (n = 4), grade I (n = 3), and grade IV (n = 2). The size of the osteoma and frontal osteoma grading system exhibited statistical significance with the operation time (p < 0.05). There were no major surgical complications or recurrence.
The operation time was prolonged when the frontal sinus osteomas were more than 1.5 cm or in grade III and IV frontal osteomas.
本研究旨在描述我们在额窦骨瘤手术治疗方面的经验。
本研究纳入了 2016 年 1 月至 2019 年 12 月期间接受额窦骨瘤手术的 18 例患者。回顾了患者的人口统计学特征、骨瘤的位置和大小、临床表现、额窦骨瘤分级系统、额窦炎的存在、手术方法、治疗结果、手术时间和并发症。
除 1 例患者外，所有患者均采用了内镜入路。在内镜入路的患者中，10 例患者行内镜鼻窦手术，7 例患者行内镜改良 Lothrop 手术。额窦骨瘤的平均大小为 1.5±0.7cm。根据额窦骨瘤分级系统，III 级（n=9，50.0%）最常见，其次是 II 级（n=4）、I 级（n=3）和 IV 级（n=2）。骨瘤大小和额窦骨瘤分级系统与手术时间呈统计学显著相关（p<0.05）。无重大手术并发症或复发。
当额窦骨瘤大于 1.5cm 或处于 III 级和 IV 级时，手术时间延长。
