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2008-2018 年于华沙军事医学研究所耳鼻咽喉科和喉癌科治疗的患者的内镜下经鼻内上颌窦切开术。

Endoscopic medial maxillectomy in patients treated at the Otorhinolaryngology and Laryngological Oncology Clinic of Military Institute of Medicine in Warsaw in the years 2008-2018.

机构信息

Wojskowy Instytut Medyczny, Klinika Otorynolaryngologii i Laryngologii Onkologicznej z z Klinicznym Oddziałem Chirurgii Czaszkowo-Szczękowo-Twarzowej, Warszawa.

出版信息

Otolaryngol Pol. 2020 Mar 30;74(4):25-30. doi: 10.5604/01.3001.0014.0867.

Abstract

<b>Introduction:</b> Endoscopic medial maxillectomy (EMM) refers to surgical resection of the medial wall of the maxillary antrum. The primary indications for EMM are recalcitrant maxillary sinusitis, ablation of malignant and specific benign diagnoses such as Schneiderian Papilloma. Maxillectomy is potentially complicated by injuries to the orbital contents, lacrimal apparatus, optic nerve, ethmoidal arteries that may be accompanied by brisk bleeding. <br><b>Aim:</b> The purpose of this paper is to conduct a retrospective analysis of patients treated with EMM surgery at the Otorhinolaryngology and Laryngological Oncology Clinic of Military Institute of Medicine in Warsaw in the years 2008-2018. <br><b>Material and methods:</b> The retrospective analysis was conducted on patients who underwent EMM treated at the the Otorhinolaryngology and Laryngological Oncology Clinic of Military Institute of Medicine in Warsaw in the years 2008-2018. The research included 18 patients aged 15-94; 8 women and 10 men. <br><b>Results:</b> Out of 18 patients, 8 had been operated before EMM. 16 of them presented with histological examinations, though 5 of which were not confirmed with postoperative histological result. The most common indication for the operation was inverted papilloma. <br><b>Conclusion:</b> Endoscopic surgical approach is effective and precious way to manage tumors which involve the neighboring structures especially medial maxillary sinus. EMM itself is a safe surgical method in managing maxillary sinus disorders and is favored for its decreased invasiveness and avoidance of the deformity of face.

摘要

引言

内镜下内侧上颌窦切开术(EMM)是指对上颌窦内侧壁的手术切除。EMM 的主要适应证为难治性上颌窦炎、恶性肿瘤及特定良性病变(如嗅神经母细胞瘤)的消融。上颌窦切开术可能会损伤眶内容物、泪器、视神经和筛前动脉,可能伴有明显出血。目的:本文旨在对 2008 年至 2018 年期间在华沙军事医学研究所耳鼻喉科和喉癌肿瘤科接受 EMM 手术治疗的患者进行回顾性分析。材料与方法:对 2008 年至 2018 年期间在华沙军事医学研究所耳鼻喉科和喉癌肿瘤科接受 EMM 治疗的患者进行回顾性分析。研究包括 18 例年龄在 15-94 岁之间的患者;8 名女性和 10 名男性。结果:18 例患者中,有 8 例在 EMM 之前接受过手术。其中 16 例进行了组织学检查,但其中 5 例与术后组织学结果不符。最常见的手术指征是内翻性乳头状瘤。结论:内镜手术方法是治疗涉及邻近结构(特别是内侧上颌窦)肿瘤的有效且宝贵的方法。EMM 本身是一种安全的治疗上颌窦疾病的手术方法,因其创伤小、避免面部畸形而受到青睐。

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