山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (4): 28-30.doi: 10.6040/j.issn.1673-3770.0.2015.075

• 论著 • 上一篇    下一篇

鼻内镜下泪前隐窝入路处理医源性上颌窦异物

夏思文1, 孙月2, 黄益灯1, 李小苗1, 何帅3   

  1. 1. 解放军第118医院耳鼻咽喉头颈外科, 浙江 温州 325000;
    2. 解放军第401医院耳鼻咽喉头颈外科, 山东 青岛 266071;
    3. 解放军第118医院口腔科, 浙江 温州 325000
  • 收稿日期:2015-02-03 修回日期:2015-05-08 出版日期:2015-08-16 发布日期:2015-08-16
  • 通讯作者: 何帅。E-mail：capitall@163.com E-mail:capitall@163.com
  • 作者简介:夏思文。E-mail：xia_si_wen@126.com
  • 基金资助:
    南京军区医学科技创新课题(10MA024、MS033)联合资助

Treatment of the iatrogenic foreign body in the maxillary sinus via the endoscopic anterior prelacrimal recess approach.

XIA Siwen1, SUN Yue2, HUANG Yideng1, LI Xiaomiao1, HE Shuai3   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, the 118th Hospital of PLA, Wenzhou 325000, Zhejiang, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, the 401st Hospital of PLA, Qingdao 266071, Shandong, China;
    3. Department of Stomatology, the 118th Hospital of PLA, Wenzhou 325000, Zhejiang, China
  • Received:2015-02-03 Revised:2015-05-08 Online:2015-08-16 Published:2015-08-16

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摘要： 目的 探讨经鼻内镜下泪前隐窝入路处理医源性上颌窦异物的方法及疗效。方法 2012年1月至2014年6月为11例医源性上颌窦异物行鼻内镜下泪前隐窝开窗上颌窦异物取出术。结果 11例上颌窦异物均一次取出, 术后上颌窦自然口引流好, 黏膜愈合佳。术后随访3至6个月, 鼻腔、鼻窦恢复良好, 无并发症发生。结论 鼻内镜下泪前隐窝入路处理医源性上颌窦异物具有视野好、操作方便、损伤小、功能保护佳的优点, 处理巨大异物优势更明显。

关键词: 异物, 上颌窦, 泪前隐窝, 鼻内镜外科手术

Abstract: Objective To explore the skill and efficacy of treatment for the iatrogenic foreign body in the maxillary sinus via the endoscopic anterior prelacrimal recess approach. Methods A total of 11 patients with the iatrogenic foreign body in the maxillary sinus were treated by endoscopic anterior prelacrimal recess surgery from January 2012 to June 2014. Results The foreign body was removed totally in all 11 patients(100%). Mucosa was well recovered and drained. During a 3-6 months follow-up, no complications happened. Conclusion Endoscopic anterior prelacrimal recess approach in treatment of iatrogenic foreign body in the maxillary sinus has advantages of good vision, convenient operation, little injury and good protection. It has unique advantage for the huge foreign body in the maxillary sinus.

Key words: Anterior prelacrimal recess, Maxillary sinus, Foreign body, Endoscopic surgical procedures, operative

中图分类号: 

  • R765.9
[1] Krishnan S, Sharma R. Iatrogenically induced foreign body of the maxillary sinus and its surgical management: a unique situation[J]. J Craniofac Surg, 2013, 24(3): e283-284.
[2] Wu X, Li A. Removal of orbital-maxillary sinus-pterygopalatine fossa foreign body with external and endoscopic combined approach[J]. J Craniofac Surg, 2014, 25(4): 1547-1549.
[3] 李谊,刘彩民,吴文灿,等.鼻内镜下泪前隐窝入路手术治疗上颌窦前内侧病变的临床研究[J].中国内镜杂志,2011,17(9):957-959. LI Yi, LIU Caimin, WU Wencan, et al. Clinical research of surgery on the fore-and-inner diseases of maxillary sinus in nasal endoscopic through the recess before naso-lacrimal duct[J]. Chin J Endoscopy, 2011, 17(9):957-959.
[4] 韩德民,周兵.鼻内镜外科学[M].2版,北京:人民卫生出版社,2012:14.
[5] 付升旗, 范锡印, 刘恒兴,等.上颌窦与上颌后牙的位置关系和临床意义[J].中国临床解剖学杂志,2010,28(2):142-145. FU Shengqi, FAN Xiyin, LIU Hengxing, et al. Relationship of the maxillary sinus with the maxillary posterior teeth and its clinical significance[J]. Chin J Clin Anat, 2010, 28(2):142-145.
[6] 宋升桥.下鼻道泪后开窗上颌窦手术47例临床分析[J].临床耳鼻咽喉头颈外科杂志, 2013,27(23):1313-1315. SONG Shengqiao. Theclinicanalysisof47 caseswithendoscopicmaxillarysinus surgerybylateralwallfenestrationof the inferiornasalmeatus[J]. J Clin Otorhinolaryngol Head Neck Surg, 2013, 27(23):1313-1315.
[7] 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):743-745. ZHOU Bing, HAN Demin, CUI Shunjiu, et al. Endoscopic nasal lateral wall dissection approach to maxillary sinus[J]. Chin J Otolaryngol Head Neck Surg, 2007, 42(10):743-745.
[8] 王广科, 史凌改, 马崧,等. 鼻内镜下泪前隐窝入路手术治疗复发性上颌窦内翻性乳头状瘤疗效观察[J].中国耳鼻咽喉头颈外科杂志,2012,19(5):225-227. WANG Guangke, SHI Linggai, MA Song, et al. Endoscopic anterior lacrimal recess approach for treatment of recurrent inverted papilloma of the maxillary sinus[J]. Chin Arch Otolaryngol Head Neck Surg, 2012, 19(5):225-227.
[9] 李泉, 杜友红, 张艳红,等. 鼻内镜下鼻腔内外侧壁入路治疗涉及上颌窦的良性病变[J].中国耳鼻咽喉颅底外科杂志,2012,17(2):129-131. LI Quan, DU Youhong, ZHANG Yanhong, et al. Endoscopic nasal lateral wall dissection approach to maxillary sinus benign lesions[J]. Chin J Otorhinolaryngol Skull Base Surg, 2012, 17(2):129-131.
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