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额窦筛窦切除术治疗黏液囊肿。一项被忽视的手术。

Frontoethmoidectomy in the treatment of mucoceles. A neglected operation.

作者信息

Rubin J S, Lund V J, Salmon B

出版信息

Arch Otolaryngol Head Neck Surg. 1986 Apr;112(4):434-6. doi: 10.1001/archotol.1986.03780040074015.

DOI:10.1001/archotol.1986.03780040074015
PMID:3947464
Abstract

The treatment of mucoceles by the Lynch-Howarth frontoethmoidectomy has been criticized because of a high rate of recurrence and postoperative complications. The long-term results in 60 patients treated by this method are examined to evaluate these criticisms. Compared with the osteoplastic flap-obliterative procedure, our results suggest a much lower recurrence rate (4%) and considerably better cosmesis with frontoethmoidectomy. This is achieved by the use of a fenestrated Silastic drainage tube left in place for five months and careful positioning of the scar. The criticisms would appear to be unjustified, and these results lend support to the continued use of the Lynch-Howarth procedure in the treatment of frontoethmoidal mucoceles.

摘要

林奇-霍沃思额窦筛窦切除术治疗黏液囊肿因复发率高和术后并发症而受到批评。本文对采用该方法治疗的60例患者的长期结果进行了研究,以评估这些批评意见。与骨成形瓣闭塞术相比,我们的结果显示额窦筛窦切除术的复发率要低得多(4%),且美容效果明显更好。这是通过留置一根带孔的硅橡胶引流管五个月以及仔细定位瘢痕来实现的。这些批评似乎并无道理,这些结果支持继续使用林奇-霍沃思手术治疗额筛窦黏液囊肿。

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