Fombeur J P, Ebbo D, Lecomte F, Simon D, Koubbi G, Barrault S
Hôpital Saint-Michel, Paris.
Ann Otolaryngol Chir Cervicofac. 1993;110(1):29-33.
47 cases of nasal polyposis and 19 cases of suppurated ethmoiditis were treated by intranasal ethmoidectomy. Results were evaluated by functional signs and nasosinusal endoscopy. 15 patients, among nasal polyposis, suffered from corticodependent asthma and 5 from Widal's disease. 64 patients were regularly followed-up for 1 to 4 years. Results in polyposis, after two years, in 47% of cases no recurrence was noted, a minor recurrence in 40% of cases, and 13% of failures with predominant Widal's disease. These results with low percentage of complications have lead us to choose intranasal ethmoidectomy. In suppurated ethmoiditis, results are good in 90% of cases if follow up is regular.
47例鼻息肉患者和19例化脓性筛窦炎患者接受了鼻内筛窦切除术。通过功能体征和鼻窦内窥镜检查对结果进行评估。鼻息肉患者中有15例患有皮质激素依赖性哮喘,5例患有伤寒。64例患者接受了1至4年的定期随访。鼻息肉患者的结果显示,两年后,47%的病例未出现复发,40%的病例有轻微复发,13%的病例治疗失败,主要为伤寒。这些并发症发生率较低的结果促使我们选择鼻内筛窦切除术。在化脓性筛窦炎患者中,如果定期随访,90%的病例结果良好。