摘要
目的探讨鼻内镜下鼻窦骨纤维异常增殖症累及颅底或眼眶的手术治疗与经验总结。方法回顾性分析2017年7月—2020年12月南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科收治的13例采用鼻内镜手术治疗累及颅底或眼眶的鼻窦骨纤维异常增殖症患者的临床资料,结合手术治疗及术后疗效进行综合评价。结果13例患者术后均无严重并发症,受累颅底或眼眶病变组织彻底切除,无眼球功能障碍及脑脊液鼻漏。随访6~48个月,所有患者均无复发。结论对于累及颅底或眼眶的鼻窦骨纤维异常增殖症的患者,鼻内镜结合导航及等离子技术可彻底切除病变组织以达到功能重建的效果。
Objective To investigate the surgical treatment of fibrous dysplasia of paranasal sinuses involving skull base or orbit under nasal endoscope.Methods Clinical date of 13 patients treated with endoscopic surgery for fibrous dysplasia of paranasal sinuses involving skull base or orbit were analyzed retrospectively,and a comprehensive evaluation was conducted combining with the surgical and postoperative treatments as well as the treatment effect.Results None of the patients exhibited severe complications.The affected skull base or orbital lesions were completely resected in all the cases,and neither ocular dysfunction nor cerebrospinal fluid rhinorrhea was observed.Follow-up period ranged from 6 to 48 months,and all patients had no recurrence.Conclusion For patients with fibrous dysplasia of paranasal sinuses involving skull base or orbit,nasal endoscopic surgery combined with navigation and plasma technology can completely remove the diseased tissue to achieve the effect of functional reconstruction.
作者
刘永泽
陈峰
张思思
麻晓峰
LIU Yongze;CHEN Feng;ZHANG Sisi;MA Xiaofeng(Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Jiangsu Provincial Key Medical Discipline(Laboratory),Research Institution of Otorhinolaryngology,Nanjing Drum Tower Hospital,Nanjing 210008,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2021年第5期553-558,共6页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
国家自然科学基金面上项目(82071044)
江苏省科教强卫工程江苏省重点学科项目(ZDXKB2016015)。
