Biedlingmaier J F, Whelan P, Zoarski G, Rothman M
Division of Otolaryngology, University of Maryland, Baltimore, USA.
Laryngoscope. 1996 Jan;106(1 Pt 1):102-4. doi: 10.1097/00005537-199601000-00020.
Thirty-eight partial middle turbinate resections from 20 patients undergoing endoscopic sinus surgery were evaluated by histopathology of mucosa and bone and by computed tomography (CT) appearance prior to resection. Histopathologic analysis revealed not only mucosal inflammation but also chronic osteitis of the bone in all patients with sinus disease. The preoperative CT was accurate in predicting turbinate osteitis when the scans displayed advanced grades III and IV disease. These findings suggest that in advanced disease, conservative partial middle turbinate resections may be necessary to remove chronically infected bone from the osteomeatal complex. Because it is unsafe to remove all of the middle turbinate, consideration should also be given to long-term antibiotic therapy to treat the osteitis found in advanced disease.
对20例接受鼻内镜鼻窦手术患者的38次部分中鼻甲切除术，术前通过黏膜和骨质的组织病理学检查以及计算机断层扫描（CT）表现进行评估。组织病理学分析显示，所有患有鼻窦疾病的患者不仅存在黏膜炎症，还存在骨质慢性骨炎。当术前CT扫描显示为III级和IV级晚期疾病时，在预测鼻甲骨炎方面较为准确。这些发现表明，在晚期疾病中，可能有必要进行保守的部分中鼻甲切除术，以从骨鼻窦复合体中清除长期感染的骨质。由于切除所有中鼻甲不安全，因此还应考虑长期使用抗生素治疗晚期疾病中发现的骨炎。
