摘要
目的:探讨鼻窦骨瘤的临床特征与手术治疗。方法:51例鼻窦骨瘤患者经鼻窦X线摄片或CT扫描确诊,均经手术切除骨瘤。其中经眶上眉弓内眦切口42例,鼻侧切开4例,上颌窦根治术切口3例,颅面联合径路2例。结果:全部患者手术切口均Ⅰ期愈合,术后无脑脊液鼻漏等并发症发生。随访6个月-5年,均无骨瘤复发或鼻窦黏液囊肿发生。结论:鼻窦骨瘤生长缓慢,X线摄片或CT扫描有助于明确诊断及合理选择手术径路。
Objective： To discuss the clinical characteristic and surgical treatment of nasal sinus osteoma. Method： Fifty-one cases with nasal sinus osteoma were diagnosed by nasal sinus X ray or CT scan. All of these osteoma patients were cured by surgical resection. Supraorbital Lynch approach were applied in forty-two cases, lateral rhinotomy Moure approach in 4 cases, Caldwell-Luc approach in 3 cases and Dandy approach that combined with cranium and facial route in 2 cases. Result：Operative incisions in all cases healed in Ⅰperiod, no complications such as brain spinal fistula occurred. All cases were followed up for 6 months to 5 years, there were no rEcurrence of osteomas and occurance of mucus cysts. Conclusion：Osteomas in nasal sinus grow slowly. X ray or CT scan is helpful to confirm the diagnosis and choose the surgical approach reasonably.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第5期217-218,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻窦肿瘤
骨瘤
诊断成像
外科手术
Paranasal sinus neoplasms, Osteoma, Diagnostic imaging
Surgical procedures, operative
