Xue Fei, Yu Xiang, Cheng You, Wu Minghai, Ji Junfeng, Wang Rui
Department of Otolaryngology Head and Neck Surgery, Medical School of Nanjing University Affiliated Jinling Hospital, Nanjing, Jiangsu 210002, P.R. China.
Department of Medical Oncology, Medical School of Nanjing University Affiliated Jinling Hospital, Nanjing, Jiangsu 210002, P.R. China.
Exp Ther Med. 2023 Jul 7;26(2):401. doi: 10.3892/etm.2023.12101. eCollection 2023 Aug.
Expanding bilateral sphenoid sinus plasty is an essential technique for the treatment of sphenoid sinus diseases, such as refractory sphenoid sinusitis, sphenoid sinus cyst, fungal sphenoid sinusitis, sphenoid sinus carcinoma and sphenoid sinus chordoma. The present study evaluated the potential application of expanding bilateral sphenoid sinus plasty in the treatment of sphenoid sinus diseases. A retrospective medical record review of 42 patients treated with the expanding bilateral sphenoid sinus plasty from December 2012 to December 2018 was performed in a tertiary-care university hospital. A follow-up of the surgical effects and complications was performed. Of the 42 patients, the symptoms were relieved after operation in all except preoperative hyposmia in 2 and impaired vision in one with no obvious improvement. No complications such as nasal bleeding, olfactory hypofunction and perforation of nasal septum occurred. Follow-up data revealed good mucosal epithelization in all patients within a mean time of 8.6 weeks. Endoscopic sinus reexamination demonstrated that the sphenoid sinus orifice was well opened, and no cases of sphenoid sinus orifice closure were observed. Expanding bilateral sphenoid sinus plasty, with advantages of clearly exposed surgical field, full opening of the sinus cavity, high surgical safety, short epithelialization time and intuitionistic postoperative follow-up, demonstrated great promise for greater use in the treatment of sphenoid sinus diseases in the future.
扩大双侧蝶窦成形术是治疗蝶窦疾病的一项重要技术，如难治性蝶窦炎、蝶窦囊肿、真菌性蝶窦炎、蝶窦癌和蝶窦脊索瘤。本研究评估了扩大双侧蝶窦成形术在治疗蝶窦疾病中的潜在应用。在一家三级大学医院对2012年12月至2018年12月期间接受扩大双侧蝶窦成形术治疗的42例患者进行了回顾性病历审查。对手术效果和并发症进行了随访。42例患者中，除2例术前嗅觉减退和1例视力受损且无明显改善外，其余患者术后症状均得到缓解。未发生鼻出血、嗅觉减退和鼻中隔穿孔等并发症。随访数据显示，所有患者在平均8.6周的时间内黏膜上皮化良好。鼻内镜鼻窦复查显示蝶窦开口开放良好，未观察到蝶窦开口闭合的病例。扩大双侧蝶窦成形术具有手术视野暴露清晰、鼻窦腔充分开放、手术安全性高、上皮化时间短和术后随访直观等优点，显示出在未来蝶窦疾病治疗中更广泛应用的巨大潜力。
