[上颌窦的外科解剖学]
[Surgical anatomy of the maxillary sinus].
作者信息
Hosemann W, Grimm A
机构信息
Klinik für Hals-Nasen-Ohrenkrankheiten, Kopf- und Hals-Chirurgie, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Deutschland.
Klinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Semmelweis Universität, Budapest, Ungarn.
出版信息
HNO. 2020 Aug;68(8):555-565. doi: 10.1007/s00106-020-00868-3.
BACKGROUND
Improved understanding of the microanatomy of the paranasal sinuses, including its individual variations, makes a substantial contribution to current progress in endonasal endoscopic microsurgery. Microanatomy of the sinuses is an active field of present scientific investitations.
MATERIALS AND METHODS
A comprehensive review on microanatomy of the maxillary sinus is presented from the perspective of contemporary endonasal endoscopic microsurgery.
RESULTS
The range of variation of the individual microanatomy of all sections of the maxillary sinus is presented, in particular to minimize secondary sugical tissue trauma, to avoid complications (e.g. on orbital tissues) and as a basis for the prelacrimal access to the maxillary sinus.
CONCLUSION
Improved understanding of the range of microanatomical variations reduced the burden on the patient while opimizing the effectiveness of the necessary surgical manipulations.
背景
对鼻窦微观解剖结构的深入了解，包括其个体差异，为目前鼻内镜显微手术的进展做出了重大贡献。鼻窦的微观解剖是当前科学研究的一个活跃领域。
材料与方法
从当代鼻内镜显微手术的角度对上颌窦的微观解剖进行全面综述。
结果
介绍了上颌窦各部分个体微观解剖的变异范围，特别是为了尽量减少继发性手术组织创伤、避免并发症（如对眼眶组织的影响）以及作为经泪前入路上颌窦的基础。
结论
对微观解剖变异范围的更好理解减轻了患者的负担，同时优化了必要手术操作的效果。
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