山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (5): 42-44.doi: 10.6040/j.issn.1673-3770.0.2014.041

• 论著 • 上一篇    下一篇

鼻内镜下上颌骨内侧壁切除联合经鼻腔泪道置管治疗上颌窦内翻性乳头状瘤

满荣军1, 朱永康2, 张秀芳1, 王海鹏1, 王孝1, 王惠忠1, 胡岩生1   

  1. 1. 淄博市中心医院耳鼻喉科, 山东 淄博 255000;
    2. 山东大学齐鲁医院沂南分院耳鼻喉科, 山东 沂南 276300
  • 收稿日期:2014-02-07 发布日期:2014-10-16
  • 通讯作者: 王惠忠。E-mail:zbwhz1216@163.com E-mail:zbwhz1216@163.com
  • 作者简介:满荣军。E-mail:manrongjun@gmail.com

Endoscopic medial maxillectomy in combination with lacrimal passage implantation of tube for sinonasal inverted papilloma invading maxillary sinus

MAN Rong-jun1, ZHU Yong-kang2, ZHANG Xiu-fang1, WANG Hai-peng1, WANG Xiao1, WANG Hui-zhong1, HU Yan-sheng1   

  1. 1. Zibo Central Hospital, Zibo 255000, Shandong, China;
    2. Yinan Branch of Qilu Hospital of Shanodng University, Yinan 276300, Shandong, China
  • Received:2014-02-07 Published:2014-10-16

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摘要： 目的 探讨鼻内镜下上颌骨内侧壁切除联合经鼻泪道置管，在上颌窦内翻性乳头状瘤手术中的应用价值。方法 回顾分析2006年1月至2010年10月采用鼻内镜下上颌骨内侧壁切除联合经鼻泪道置管治疗32例上颌窦内翻性乳头状瘤患者的临床资料。术中切除上颌骨内侧壁，彻底切除上颌窦肿瘤，经鼻泪道置入硅胶管，术后长期随访。结果 32例患者均为Krouse分期T3期，全部彻底切除肿瘤，术后随访12~72个月，平均35个月，术腔上皮化良好，2例复发，复发率为6.3%，局部清除后随访未再复发，患者均无溢泪并发症。结论 鼻内镜下上颌骨内侧壁切除是治疗Krouse分期T3期上颌窦内翻性乳头状瘤的良好术式，术中联合经鼻泪道置管可以预防泪道狭窄。

关键词: 内翻性乳头状瘤, 上颌骨内侧壁切除术, 鼻泪管

Abstract: Objective To evaluate the efficacy of endoscopic medial maxillectomy in combination with lacrimal passage implantation of tube for sinonasal inverted papilloma invading maxillary sinus. Methods From January 2006 to October 2010, 32 patients with sinonasal inverted papilloma invading maxillary sinus received endoscopic medial maxillectomy in combination with lacrimal passage implantation of tube in our hospital. The clinical data of the patients were analyzed retrospectively. Results All the tumors were in T3 Krouse stage and were thoroughly excided. 2 cases had recurrence and were cured after local debridement. The overall recurrence rate was 6.3%(2 of 32). Followed up from 12 to 72 months, all of the patients had no epiphora and other complications. Conclusion Endoscopic medial maxillectomy is a good technique for maxillary sinus inverted papilloma of T3 Krouse stage, and lacrimal passage implantation of tube can be used to prevent stenosis of nasolacrymal duct.

Key words: Inverted papilloma, Nasolacrymal duct, Endoscopic medial maxillectomy

中图分类号: 

  • R765.9
[1] Eggers G, Muhling J, Hassfeld S. Inverted papilloma of paranasal sinuses[J]. J Cranio-Maxillofacial Surgery, 2007, 35(1):21-29.
[2] Krouse J H. Development of a staging system for inverted papilloma[J]. Laryngoscope, 2000, 110(6):965-968.
[3] Harvey R J, Gallagher R M, Sacks R. Extended endoscopic techniques for sinonasal resections[J]. Otolaryngol Clin North Am, 2010, 43(3):613-638.
[4] 周兵, 韩德民, 崔顺九, 等. 鼻内镜下鼻腔外侧壁切开上颌窦手术[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(10):743-748. ZHOU Bing, HAN Demin, CUI Shunjiu, et al. Endoscopic nasal lateral wall dissection approach to maxillary sinus[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2007, 42(10):743-748.
[5] Wormald P J, Ooi E, Van Hasselt C A, et al. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy[J]. Laryngoscope, 2003, 113(5):867-873.
[6] Jaber J J, Ruggiero F, Zender C A. Facial degloving approach to the midface[J]. Operative Tech Otolaryngol Head Neck Surgery, 2010, 21(1):171-174.
[7] Vrabec D P. The inverted schneiderian papilloma: A 25-year study[J]. Laryngoscope, 1994, 104(5 Pt1):582-605.
[8] Tanna N, Edwards J D, Aghdam H, et al. Transnasal endoscopic medial maxillectomy as the initial oncologic approach to sinonasal neoplasms: the anatomic basis[J]. Arch Otolaryngol Head Neck Surgery, 2007, 133(11):1139-1142.
[9] 于志良, 王卫卫, 邢海涛, 等. 泪道置管联合鼻内镜下上颌窦内壁扩大切除术治疗上颌窦占位性病变[J]. 山东大学耳鼻喉眼学报, 2010, 24(4):37-39. YU Zhiliang, WANG Weiwei, XING Haitao, et al. Lacrimal passage intubation in combination with expansive resection of the inner wall of the maxillary sinus by nasal endoscopy for maxillary sinus lesions[J]. J Otolaryngol Ophthalmol Shandong University, 2010, 24(4): 37-39.
[10] 宋西成, 王强, 张华. 鼻内镜下鼻泪管前径路和后径路切除上颌窦良性病变[J]. 中华耳鼻咽喉头颈外科杂志, 2011, 46(10):818-824. SONG Xicheng, SUN Yan, ZHANG Hua, et al. Endoscopic maxillary sinus surgery through anterior or posterior nasolacrimal duct approach[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2011, 46(10):818-824.
[11] Christensen W N, Smith R R L. Schneiderian papillomas: a clinicopathologic study of 67 cases[J]. Human Pathol, 1986, 17(4):393-400.
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