el-Silimy O
Armed Forces Hospital, Wadi Al Dawasir, Kingdom of Saudi Arabia.
Rhinology. 1996 Jun;34(2):119-22.
The most favourable management of frontal sinus disease and its complications involves the choice of the least invasive operative technique likely to eradicate the disease process. With the introduction of endonasal endoscopic surgery, examination of the frontal recess and removal of obstructive ethmoidal cells or diseased mucosa becomes feasible. Percutaneous frontal sinus endoscopy facilitates sinus irrigation, thorough inspection of the frontal sinus, removal of diseased mucosa within the frontal sinus, and evacuation of subperiosteal abscesses. Six cases of Pott's puffy tumour secondary to frontal sinusitis treated by combined endonasal and percutaneous endoscopic surgery are presented. CT scan is diagnostic for associated complication and underlying pathology. Complications are minimal. Combined endonasal and percutaneous endoscopic surgery is a good approach which can be carried out for the treatment of frontal sinus diseases and its complications.
额窦疾病及其并发症的最理想治疗方法是选择最有可能根除疾病进程的侵入性最小的手术技术。随着鼻内镜手术的引入，对额隐窝进行检查以及切除阻塞性筛窦气房或病变黏膜变得可行。经皮额窦内镜检查有利于鼻窦冲洗、对额窦进行全面检查、清除额窦内的病变黏膜以及引流骨膜下脓肿。本文介绍了6例采用鼻内和经皮内镜联合手术治疗的继发于额窦炎的波特氏浮肿性肿瘤病例。CT扫描可诊断相关并发症及潜在病理情况。并发症极少。鼻内和经皮内镜联合手术是一种可用于治疗额窦疾病及其并发症的良好方法。
