Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Pathophysiologic Considerations
Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Pathophysiologic Considerations
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内窥镜鼻内手术——治疗复发性鼻窦炎的概念第一部分：解剖学和病理生理学考虑。
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发表时间：
1986
期刊：
影响因子：
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通讯作者：
H. Stammberger
中科院分区：
文献类型：
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作者：
H. Stammberger
多年的内窥镜检查和观察证明，大多数副鼻窦感染都是由鼻源性的，从鼻子传播到鼻窦。复发性鼻窦炎的常见感染病灶是前筛窦的狭窄区域，感染在较大的鼻窦中复发。因此，前筛窦，特别是其漏斗，是感染或治愈的关键部位，上颌窦和额窦完全取决于那里的病理生理条件。组织学检查表明，鼻腺的巨大变化是永久性粘膜增厚的原因。潴留囊肿、高粘性粘液、粘液外渗和上皮化生改变增加了口-鼻道单位堵塞的恶性循环。
Many years of endoscopic investigation and observation proved that most infections of the paranasal sinus are rhinogenic, spreading from the nose into the sinuses. The common focus of infection in cases of recurring sinusitis is the stenotic areas of the anterior ethmoid, with infection recurring in the larger sinuses. The anterior ethmoid, especially its infundibulum, is thus a key location for infection or cure, and maxillary as well as frontal sinuses are fully dependent on the pathophysiologic conditions there. Histologic examination demonstrates that massive changes of the nasal glands are the reason for permanent mucosal thickening. Retention cysts, highly viscous mucus, mucus extravasations, and metaplastic epithelial changes add to the vicious cycle of blockage of the ostium-meatus unit.