Kang Cheng, Yu Xiao, Wang Jiyun, Lian Meng
Department of Otolaryngology,Huamei Hospital,University of Chinese Academy of Sciences,Ningbo,315000,China.
Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):673-677. doi: 10.13201/j.issn.2096-7993.2021.08.001.
To analyze the clinical features of juvenile ossifying fibroma in nasal root and to compare different surgical methods. Seven cases of juvenile ossifying fibroma occurring in the nasal root were treated via surgery, 5 cases were resected under nasal endoscopy guided by Image Guidance System-based electromagnetic navigation, and 2 cases were resected by lateral nasal butterfly incision. Postoperative follow-up included endoscopy and CT scan of the sinuses. The pathological results of 7 patients were consistent with juvenile ossifying fibroma. Follow-up period ranged from 6 to 45 months, and there were no recurrence or surgical complications. Surgery is the only effective treatment. Endoscopic sinus surgery with image navigation and lateral nasal butterfly incision resection has been deemed available. The external nasal butterfly incision has less bleeding and shorter operation time, but with mild nasal face swelling after surgery, and nasal endoscopy is a surgical method with less damage.
分析鼻根青少年骨化性纤维瘤的临床特点并比较不同手术方法。对7例发生于鼻根的青少年骨化性纤维瘤患者行手术治疗,其中5例在基于图像引导系统的电磁导航鼻内镜引导下切除,2例经鼻侧蝶形切口切除。术后随访包括鼻窦内镜检查及CT扫描。7例患者病理结果均符合青少年骨化性纤维瘤。随访时间6~45个月,均无复发及手术并发症。手术是唯一有效的治疗方法。图像导航鼻内镜手术及鼻侧蝶形切口切除术均可行。鼻外蝶形切口出血少、手术时间短,但术后鼻面部肿胀较轻,鼻内镜手术是一种损伤较小的手术方法。