Modified Endoscopic Maxillary Medial Sinusotomy for Sinonasal Inverted Papilloma with Attachment to the Anterior Medial Wall of Maxillary Sinus
Modified Endoscopic Maxillary Medial Sinusotomy for Sinonasal Inverted Papilloma with Attachment to the Anterior Medial Wall of Maxillary Sinus
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DOI：
10.1159/000336739
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发表时间：
2012-04-01
影响因子：
1.3
通讯作者：
Zhang, Luo
中科院分区：
文献类型：
--
作者：
Wang, Chengshuo;Han, Demin;Zhang, Luo
目的：内翻性乳头状瘤(IP)的内窥镜治疗在过去的15年中变得越来越流行。然而，累及上颌窦前内侧壁的病变的适当处理仍有待确定。方法：对北京同仁医院耳鼻咽喉头颈外科手术治疗上颌窦前内壁IP的临床资料进行回顾性分析。肿瘤切除采用改良的内窥镜上颌窦切开术，定义为保留鼻泪管和下鼻甲的扩大的内窥镜上颌骨内侧切开术。鼻窦内窥镜用于筛查内窥镜切除后的疾病，并对临床结果进行分析。结果：共确诊7例(男4例，女3例)。手术前后病理检查诊断为内翻性乳头状瘤。所有肿瘤均被定义为Krouse III病变。没有任何手术并发症的记录。所有患者均无疾病，平均随访35.7个月(20-68个月)。结论：保留鼻泪管和下鼻甲的鼻内窥镜下改良上颌窦内侧切开术治疗上颌窦内侧前内侧粘连性鼻窦炎是一种成功的手术方法。版权所有(C)2012 S.Karger AG，巴塞尔
Objectives: The endoscopic management of inverted papilloma (IP) has gained in popularity over the last 15 years. However, the appropriate management of lesions involving the anterior medial wall of the maxillary sinus still has to be determined. Methods: We performed a retrospective review of the surgical results for patients with IP attached to the anterior medial wall of the maxillary sinus in the Otolaryngology, Head and Neck Surgery Department, Beijing TongRen Hospital. The tumors were removed by using our surgical technique of modified endoscopic maxillary medial sinusotomy, which was defined as an extended endoscopic medial maxillectomy with preservation of the nasolacrimal duct and inferior turbinate. Sinus endoscopy was used to screen for disease after endoscopic resection and the clinical outcomes were analyzed. Results: A total of 7 patients (4 males and 3 females) were identified. Pre- and postoperative pathological examinations revealed inverted papilloma as the diagnosis. All tumors were defined as Krouse III lesions. There were no complications recorded as a result of surgery. All patients remain disease free with a mean follow-up of 35.7 months (range 20-68 months). Conclusion: Sinonasal IP with attachment to the anterior medial portion of the maxillary sinus can be treated successfully using modified endoscopic maxillary medial sinusotomy with preservation of the nasolacrimal duct and inferior turbinate. Copyright (C) 2012 S. Karger AG, Basel