Andréasson L, Jannert M, Malm L
Clin Otolaryngol Allied Sci. 1985 Jun;10(3):151-5. doi: 10.1111/j.1365-2273.1985.tb01184.x.
In 9 patients with recurrent attacks of acute or chronic frontal sinusitis, interfrontal sinus septum resection was performed. In 5 patients there was unilateral disease and in 4 bilateral. As all patients had previously had their frontal sinus trephined, pre- and post-operative naso-frontal duct function tests were performed. Pre-operatively, of 11 naso-frontal ducts tested (2 patients bilaterally) not one showed air flow on spontaneous respiration. Passage of air was obtained at forced inspiration and expiration in one patient and by Valsalva's manoeuvre in 6. No flow of air whatsoever was obtained in 4 of the ducts, whatever the method used. At follow-up performed 1-8 years post-operatively 7 out of the 9 patients had no frontal sinus problems. The remaining 2 patients, who both had nasal allergy, were improved. Post-operative testing of the 9 patients showed flow of air on spontaneous respiration in 4 patients, whereas 4 needed forced inspiration or expiration and only one patient Valsalva's manoeuvre. The sinus septum resection, which is very simple to perform, is a good alternative to more extensive frontal sinus surgery but may be of less value in patients with nasal allergy.
对9例急性或慢性额窦炎反复发作的患者实施了额窦中隔切除术。其中5例为单侧病变，4例为双侧病变。由于所有患者此前均已接受过额窦环钻术，因此进行了术前和术后鼻额管功能测试。术前，在测试的11个鼻额管中（2例为双侧），没有一个在自主呼吸时显示有气流。1例患者在用力吸气和呼气时可使空气通过，6例患者通过瓦尔萨尔瓦动作可使空气通过。无论采用何种方法，4个鼻额管均未获得任何气流。在术后1至8年进行的随访中，9例患者中有7例没有额窦问题。其余2例均患有鼻过敏的患者病情有所改善。对9例患者进行术后测试显示，4例患者在自主呼吸时有气流通过，而4例患者需要用力吸气或呼气，只有1例患者需要通过瓦尔萨尔瓦动作。额窦中隔切除术操作非常简单，是更广泛的额窦手术的一个很好的替代方法，但对鼻过敏患者可能价值较小。
