对上颌窦的360度手术入路
Three-hundred and sixty degrees of surgical approaches to the maxillary sinus.
作者信息
Rezende Natália C, Pinheiro-Neto Carlos D, Leonel Luciano C P C, Van Gompel Jamie J, Peris-Celda Maria, Choby Garret
机构信息
Division of Rhinology and Skull Base Surgery, Department of Otolaryngology-Head & Neck Surgery Mayo Clinic Rochester Minnesota USA.
Department of Neurologic Surgery Mayo Clinic Rochester Minnesota USA.
出版信息
World J Otorhinolaryngol Head Neck Surg. 2022 Mar 22;8(1):42-53. doi: 10.1002/wjo2.12. eCollection 2022 Mar.
OBJECTIVES
To demonstrate three-hundred and sixty degrees of maxillary sinus (MS) surgical approaches using cadaveric dissections, highlighting the step-by-step anatomy of each procedure.
METHODS
Two latex-injected cadaveric specimens were utilized to perform surgical dissections to demonstrate different approaches to the MS. The procedures were documented with macroscopic images and endoscopic pictures.
RESULTS
Dissections were performed to approach the MS medially (endoscopic maxillary antrostomy and ethmoidectomy), anteriorly (Caldwell-Luc), superiorly (transconjunctival/transorbital approach), inferiorly (transpalatal approach), and posterolaterally (preauricular hemicoronal approach).
CONCLUSION
A number of approaches have been described to address pathology in the MS. Surgeons should be familiar with indications, limitations, and surgical anatomy from different perspectives to approach the MS. This paper illustrates anatomic approaches to the MS with detailed step-by-step cadaveric dissections and case examples.
目的
通过尸体解剖展示上颌窦（MS）的360度手术入路，突出每个手术步骤的详细解剖结构。
方法
使用两具注入乳胶的尸体标本进行手术解剖，以展示上颌窦的不同入路。手术过程用宏观图像和内镜图片记录。
结果
进行了解剖以从内侧（内镜下上颌窦造口术和筛窦切除术）、前方（柯-陆氏手术）、上方（经结膜/经眶入路）、下方（经腭入路）和后外侧（耳前半冠状入路）进入上颌窦。
结论
已经描述了多种处理上颌窦病变的入路。外科医生应从不同角度熟悉手术适应证、局限性和手术解剖结构，以便进入上颌窦。本文通过详细的尸体解剖步骤和病例示例说明了上颌窦的解剖入路。
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