Coste A, Chevalier E, Beautru R, Abd Alsamad I, Salvan D, Peynegre R
Service d'O.R.L. et de Chirurgie Cervico-Faciale, Centre Hospitalier Intercommunal, Créteil.
Ann Otolaryngol Chir Cervicofac. 1996;113(4):197-201.
Osteoma of the para-nasal sinuses is a rare and benign tumor that develops slowly. When therapy becomes mandatory, it is necessarily surgical and requires a standard external approach. This report analyses seven cases of operated osteomas, using different surgical techniques, adapted to different indications. Three patients underwent exclusive endonasal endoscopic surgery, and four patients had external surgery coupled with endonasal surgery. Results have proven successful with a four-year median follow-up. Epidemiological, clinical, histological and therapeutic considerations as well as the value of the endoscopic endonasal surgical approach are discussed. Endonasal endoscopic surgery can be used alone in naso-ethmoidal osteomas. It must, though, be associated with external standard procedure when the osteoma involves important extension to the frontal sinuses. In isolated frontal osteomas, external standard approach is mandatory for resection, endonasal technique being in this case contributive to the repermeabilisation of the infundibulum.
鼻窦骨瘤是一种罕见的良性肿瘤，生长缓慢。当必须进行治疗时，必然是手术治疗，且需要采用标准的外部入路。本报告分析了7例接受手术治疗的骨瘤病例，采用了不同的手术技术，以适应不同的适应证。3例患者仅接受鼻内镜手术，4例患者接受了外部手术联合鼻内手术。经过4年的中位随访，结果证明是成功的。本文讨论了流行病学、临床、组织学和治疗方面的考虑因素，以及鼻内镜手术入路的价值。鼻内镜手术可单独用于鼻筛窦骨瘤。然而，当骨瘤向额窦的重要延伸时，必须与标准的外部手术联合使用。对于孤立的额骨瘤，必须采用标准的外部入路进行切除，此时鼻内技术有助于漏斗的再通。
