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经下鼻甲的经黏膜下上颌筛窦手术(鼻泪管和下鼻甲摆动)

[Transsubmucosal maxilloethmoid sinus surgery through inferior turbinate (swinging of nasolacrimal duct and inferior turbinate)].

作者信息

Tsuta Y, Murata K, Minamitani H, Ohta F

机构信息

Department of Otolaryngology, Kinki University School of Medicine, Osaka.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1993 Nov;96(11):1902-6. doi: 10.3950/jibiinkoka.96.1902.

Abstract

We recently devised a new technique for endonasal surgery, which simplifies maxillary antrotomy and ethmoidectomy, and dilates the middle nasal meatus widely enough to allow easier postoperative observation. Surgery is initiated by an incision similar to the one used for submucosal resection of the inferior turbinate. The bony inferior turbinate is resected, and the nasolacrimal duct is freed from the bone. Subsequently, the maxillary and ethmoidal sinuses are excenterated, with swinging of the membranaceous inferior turbinate and the nasolacrimal duct. Postoperative observation confirmed satisfactory results.

摘要

我们最近设计了一种鼻内手术新技术,该技术简化了上颌窦切开术和筛窦切除术,并充分扩大中鼻道,以便术后更易于观察。手术始于一个类似于下鼻甲黏膜下切除术所使用的切口。切除骨性下鼻甲,并将鼻泪管从骨头上游离出来。随后,切除上颌窦和筛窦,同时使膜性下鼻甲和鼻泪管摆动。术后观察证实效果令人满意。

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