Huang Xi, Li Weiwei, Zhou Jianbo
Department of Otolaryngology Head and Neck Surgery，Hunan Provincial People's Hospital，the First Affiliated Hospital of Hunan Normal University，Changsha，410005，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Aug;36(8):639-642. doi: 10.13201/j.issn.2096-7993.2022.08.015.
Chronic sinusitis （CRS） is one of the most common nasal diseases, and FSDP is a risk factor for CRS. The variation of the frontal recess cell obstructs the frontal sinus drainage pathway, which makes the frontal sinus surgery more difficult and a higher recurrence rate than other sinus surgeries. Therefore, before surgery, a thin-slice CT scan is performed on the patient to fully evaluate the anatomical structure and drainage pathway of the frontal sinus, and to understand the variation of FSDP cell is crucial for accurate opening of the frontal sinus. In this paper, A case of large supra bulla frontal cell infection was summarized and analyzed. The anatomical structure of the frontal recess was fully understood by preoperative radiographs, the spatial relationship between the cells was identified, and the appropriate surgical plan was developed, which was beneficial for the surgeon to accurately open the frontal cortex during surgery and avoid postoperative recurrence.
慢性鼻窦炎（CRS）是最常见的鼻部疾病之一，额隐窝气房发育异常（FSDP）是CRS的一个危险因素。额隐窝气房的变异会阻塞额窦引流通道，这使得额窦手术比其他鼻窦手术更困难且复发率更高。因此，在手术前，需对患者进行薄层CT扫描，以全面评估额窦的解剖结构和引流通道，了解FSDP气房的变异对于准确开放额窦至关重要。本文总结并分析了1例大泡上额气房感染病例。通过术前影像学检查充分了解额隐窝的解剖结构，明确气房之间的空间关系，并制定合适的手术方案，这有助于外科医生在手术中准确开放额窦皮质并避免术后复发。
