Tan G, Sun H
Third Affiliated Hospital, Hunan Medical University, Changsha.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(6):362-4.
To explore the origin of olfactory sulcus polyp (OSP) and observe the recovery of olfaction after functional endoscopic sinus surgery, fifty-nine olfactory sulcus polyps in 31 patients were reviewed. The origin of OSP was carefully observed. In these patients 69.5% (41 sides) originated from the mucosa of posterior ethmoid sinus, including the superior meatus (23 sides) and ethmoid cells near the ostia (18 sides). OSP originated from middle turbinate (8 sides) and superior turbinate (4 sides). Six OSP originated from the mucosa of both ethmoid and sphenoid sinus. Olfactory changes were dynamically observed after endoscopic sinus surgery in 26 patients. The smell improved significantly in 26 sides (52.0%) within three months. The olfaction improved slowly in those patients with recurrent polyps and polysinusitis associated with polyps. We suggest that minimal endoscopic sinus surgery is the treatment of choice for OSP.
为探讨嗅沟息肉（OSP）的起源，并观察功能性鼻内镜鼻窦手术后嗅觉的恢复情况，对31例患者的59个嗅沟息肉进行了回顾性研究。仔细观察了OSP的起源。在这些患者中，69.5%（41侧）起源于后筛窦黏膜，包括上鼻道（23侧）和窦口附近的筛房（18侧）。OSP起源于中鼻甲（8侧）和上鼻甲（4侧）。6个OSP起源于筛窦和蝶窦的黏膜。对26例患者在内镜鼻窦手术后动态观察嗅觉变化。26侧（52.0%）在3个月内嗅觉明显改善。息肉复发和合并鼻窦炎的患者嗅觉改善缓慢。我们认为，微创鼻内镜鼻窦手术是治疗OSP的首选方法。
