山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (6): 33-36.doi: 10.6040/j.issn.1673-3770.0.2016.198

• 论著 • 上一篇    下一篇

鼻内镜下中鼻道联合泪前隐窝入路治疗真菌性上颌窦炎

康宗辉,夏思文,胡献惠,陈春宵,郑英松,黄益灯   

  1. 解放军第118医院耳鼻咽喉头颈外科, 南京军区耳鼻咽喉头颈外科中心, 浙江 温州 325000
  • 收稿日期:2016-05-04 出版日期:2016-12-16 发布日期:2016-12-16
  • 通讯作者: 黄益灯. E-mail: huang_yideng@126.com E-mail:npent@qq.co
  • 作者简介:康宗辉. E-mail:npent@qq.co

Combined middle meatus and prelacrimal recess approach for treatment of fungal maxillary sinusitis.

KANG Zonghui, XIA Siwen, HU Xianhui, CHEN Chunxiao, ZHENG Yingsong, HUANG Yideng   

  1. Department of Otolaryngology &Head and Neck Surgery, The 118th Hospital of Chinese PLA, The Otolaryngology &Head and Neck Surgery Center of Nanjing Military Region, Wenzhou 325000, Zhejiang, China
  • Received:2016-05-04 Online:2016-12-16 Published:2016-12-16

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摘要： 目的 探讨鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路治疗真菌性上颌窦炎的适应证及疗效。 方法 回顾分析2008年6月至2014年6月行鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路治疗真菌性上颌窦炎32例患者的临床资料,分析联合入路的适应证、疗效及并发症。 结果 患者均完整彻底清除病变,无并发症发生。随访1年半以上,均无复发。 结论 鼻内镜下经中鼻道上颌窦自然口扩大联合泪前隐窝入路视野清晰,对上颌窦暴露充分,上颌窦霉菌清除彻底,创伤小,疗效确切,可作为鼻内镜下经中鼻道行上颌窦扩大或辅助下鼻道开窗仍无法彻底清除窦内霉菌的首选方法。

关键词: 鼻内镜外科手术, 真菌, 上颌窦, 泪前隐窝入路

Abstract: Objective To explore the indication and efficacy of middle meatus and prelacrimal recess approach under endoscopy for fungal maxillary sinusitis. Methods The clinical data of 32 patients with fungal maxillary sinusitis hospitalized in June 2008 to June 2014 were retrospectively analyzed. The indication and curative effect and complications were analyzed during the follow-up. Results Maxillary fungus was thoroughly removed. All patients were followed up over one year and a half. No complications and recurrence were found. Conclusion The endoscopic middle meatus and prelacrimal recess approach for fungal maxillary sinusitis has advantages of clear view, complete exposure of maxillary wall and high therapeutic effect. It can be used as a preferable method when the maxillary mycoses can not be completely removed via endoscopic middle meatal and/or combined inferior meatal approach.

Key words: Endoscopic sinus surgery, Prelacrimal recess approach, Maxillary sinus, Mycoses

中图分类号: 

  • R765.4
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