Porto D P, Duvall A J
Laryngoscope. 1986 Aug;96(8):858-62. doi: 10.1002/lary.1986.96.8.858.
The findings and results of 50 consecutive nasofrontal duct reconstructions are analyzed and presented. Postoperative recurrence of frontal sinus disease occurred in 14% of the cases and there were no significant postoperative or intraoperative complications. There was no instance of failure in patients with a history of trauma to the nasofrontal duct and only two recurrences in patients with mucocele or pyocele. Nasofrontal duct reconstruction offers more direct access to the ethmoid cell system than osteoplastic flap obliteration. In addition, it is a lesser procedure with fewer complications. The physiologic function of the sinus is restored without the risk of burying disease. Nasofrontal duct reconstruction is an effective option for the treatment of chronic frontal sinus disease if the sinus mucosa is not irreversibly damaged.
对连续50例鼻额管重建术的结果进行了分析并呈现。额窦疾病术后复发率为14%，术后及术中均无明显并发症。鼻额管有创伤史的患者无一例失败，黏液囊肿或脓性囊肿患者仅有两例复发。与骨成形瓣闭塞术相比，鼻额管重建术能更直接地进入筛窦气房系统。此外，该手术创伤较小，并发症较少。鼻窦的生理功能得以恢复，且无隐匿疾病的风险。如果鼻窦黏膜没有受到不可逆的损害，鼻额管重建术是治疗慢性额窦疾病的有效选择。
