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[上颌窦异物取出方法]

[Methods of maxillary sinus foreign bodies removal].

作者信息

Karpishchenko S A, Vereshchagina O E, Bolozneva E V, Karpishchenko E S

机构信息

Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint-Petersburg, Russia.

Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia.

出版信息

Vestn Otorinolaringol. 2020;85(5):78-82. doi: 10.17116/otorino20208505178.

Abstract

THE AIM

To characterize methods of extraction of foreign bodies of maxillary sinuses, features of postoperative treatment of patients.

MATERIAL AND METHODS

The experience of treatment of patients with maxillary sinuses foreign bodies in the clinic of ENT of PFSMU of St.Petersburg is presented. In 2019 124 patients undergo treatment of maxillary sinus foreign bodies in our clinic. All surgeries are done by endoscopic endonasal method, mostly via inferior nasal passage. Clinical case of maxillary sinus foreign body removal is presented.

RESULTS

Almost any kind of foreign body can be removed from the maxillary sinus endoscopically through the nasal cavity. The most reliable method to diagnose foreign body is computed tomography. In most cases local antibacterial therapy is enough in postoperative period.

摘要

目的

描述上颌窦异物的取出方法以及患者术后治疗的特点。

材料与方法

介绍圣彼得堡巴甫洛夫第一医科大学耳鼻喉科诊所治疗上颌窦异物患者的经验。2019年,124例患者在我们诊所接受上颌窦异物治疗。所有手术均采用鼻内镜下经鼻入路,主要经下鼻道进行。展示了一例上颌窦异物取出的临床病例。

结果

几乎任何类型的异物都可以通过鼻腔经鼻内镜从上颌窦取出。诊断异物最可靠的方法是计算机断层扫描。在大多数情况下,术后局部抗菌治疗就足够了。

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