Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital.
Department of Microbiology, Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
J Craniofac Surg. 2023;34(2):626-628. doi: 10.1097/SCS.0000000000008939. Epub 2022 Sep 20.
A mononostril endoscopic approach was attempted for bilateral sphenoid sinus lesions. The objective of this study was to introduce the surgical method along with treatment results for patients.
We retrospectively analyzed 16 patients who underwent a mononostril endoscopic surgery for bilateral sphenoid lesions from 2018 to 2022.
Endoscopic mononostril surgery for bilateral sphenoid lesions was performed for 13 cases under general anesthesia and 3 cases under local anesthesia. The surgical approach to the sphenoid sinus was transnasal approach in 8 cases and transethmoidal in 8 cases. Among those with bilateral sphenoid sinuses lesions, fungal ball and sinusitis were the most common. After surgery, the size of the sphenoid sinus opening remained almost the same in 14 patients. It decreased but maintained in 2 patients. There was no recurrence of sphenoid lesions.
The mononostril endoscopic approach for bilateral sphenoid lesions is a feasible, safe, effective, and minimally invasive surgical technique.
我们尝试了单鼻孔内镜入路双侧蝶窦病变的方法。本研究的目的是介绍手术方法和患者的治疗结果。
我们回顾性分析了 2018 年至 2022 年间 16 例接受单鼻孔内镜双侧蝶窦病变手术的患者。
13 例在全身麻醉下，3 例在局部麻醉下进行了双侧蝶窦病变的内镜单鼻孔手术。蝶窦手术入路为经鼻入路 8 例，经筛窦入路 8 例。双侧蝶窦病变中，真菌球和鼻窦炎最常见。术后 14 例蝶窦开口大小基本保持不变，2 例减小但仍保持。无蝶窦病变复发。
单鼻孔内镜入路双侧蝶窦病变是一种可行、安全、有效、微创的手术技术。
