Jacobs J B, Lebowitz R A, Lagmay V M, Damiano A
Department of Otolaryngology, New York University School of Medicine, NY 10016, USA.
Ann Otol Rhinol Laryngol. 1998 Aug;107(8):658-61. doi: 10.1177/000348949810700805.
Endoscopic data reveal that mucosal disease frequently recurs following the surgical treatment of chronic diffuse hyperplastic frontal sinus and nasofrontal duct disease. However, this group of patients often remains asymptomatic. We present 40 patients who underwent endoscopic sinus surgery with a 4-year mean follow-up. Postoperative endoscopy revealed mucosal disease within the frontal recess in 39 of the 40 (97.5%) patients; however, only 3 of the 40 (7.5%) were symptomatic. Of these 3 patients, 1 underwent revision surgery. Historical information demonstrates the potential for significant nasofrontal duct stenosis associated with such revision surgery. On the basis of our initial results, endoscopic observation and medical therapy seem to be successful in controlling the symptoms associated with this disease process.
内镜检查数据显示，在慢性弥漫性增生性额窦和鼻额管疾病的手术治疗后，黏膜疾病经常复发。然而，这组患者通常没有症状。我们报告了40例行内镜鼻窦手术的患者，平均随访4年。术后内镜检查发现，40例患者中有39例（97.5%）额隐窝内存在黏膜疾病；然而，40例中只有3例（7.5%）有症状。在这3例患者中，有1例接受了翻修手术。既往资料表明，此类翻修手术可能会导致严重的鼻额管狭窄。根据我们的初步结果，内镜观察和药物治疗似乎能成功控制与该疾病进程相关的症状。
