Endonasal Approach for Nasal and Paranasal Sinus Tumor Removal
Endonasal Approach for Nasal and Paranasal Sinus Tumor Removal
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鼻内和鼻旁窦肿瘤切除术
DOI：
10.1159/000055775
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
R. Amedee
中科院分区：
文献类型：
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作者：
Uta M. Kühn;W. Mann;R. Amedee
鼻及副鼻窦良性肿瘤53例，恶性肿瘤22例，均经鼻腔入路切除肿瘤。患者的选择是基于肿瘤的位置(中心)而不是组织学。鼻腔入路肿瘤位于鼻腔、筛窦、蝶窦和上颌窦内侧壁。鼻内窥镜技术，包括鼻眶减压和鼻腔封闭脑脊液漏，在选定的病例中结合了手术导航工具。在不影响肿瘤切除的根治性的情况下，手术创伤和发病率可以降至最低。术后住院时间与慢性炎症性疾病所需时间相当。随着鼻腔技术经验的增长，对于位于中央的、经过选择的鼻腔和副鼻窦肿瘤，可选择一种安全有效的治疗方法。
Patients with benign (53) and malignant (22) tumors of the nose and paranasal sinuses were treated for tumor removal via an endonasal approach. Patient selection was based on tumor location (centrally) rather than histology. Tumors attainable by the endonasal approach were located in the nasal cavity, the ethmoid sinus, the sphenoid sinus and the medial wall of the maxillary sinus. Endonasal microscopic techniques including endonasal orbital decompression and endonasal closure of CSF-leaks were combined with surgical navigation tools in selected cases. Surgical trauma and morbidity could be minimized without compromising radicality of tumor removal. Postoperative hospitalization was comparable to the period needed after chronic inflammatory disease. Growing experience with endonasal techniques is leading towards a safe and effective treatment option for centrally located, selected tumors of the nose and paranasal sinuses.