Organizing hematoma of the maxillary sinus
Organizing hematoma of the maxillary sinus
复制标题
上颌窦机化性血肿
DOI：
10.1016/j.otohns.2006.10.033
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
B. Lee
中科院分区：
文献类型：
--
作者：
H. Song;Y. Jang;Yoo;B. Lee
目的探讨上颌窦机化性血肿（Organizing Hematoma of the上颌窦）的临床特点及手术治疗效果。方法回顾性分析1990年1月至2005年12月间20例上颌窦机化性血肿患者的临床资料。鼻旁CT扫描显示单侧上颌骨膨胀性混浊，不均匀强化，骨质破坏（25%），局灶性钙化（15%）。治疗方法包括唇下入路联合鼻内镜手术（50%）、单纯鼻内镜手术（45%）和Denker手术（5%）。所有患者均取得了成功的结果，没有复发。ConclusionConservative手术方法，如唇下或鼻内镜手术单独或组合导致良好的结果，没有复发。我们建议用“OHMS”这个术语来更好地描述这种罕见的病理。
ObjectiveThe study aims to elucidate the clinical features and surgical results of OHMS (organizing hematoma of the maxillary sinus).Study Design and SettingWe performed a chart review of 20 patients undergoing surgery for maxillary sinus lesions and pathologically diagnosed with OHMS between January 1990 and December 2005.ResultsThe most common complaint was frequent epistaxis (70%). Paranasal CT scans showed unilateral expansile maxillary opacification, heterogeneous enhancement, bony destruction (25%), and focal calcification (15%). Treatment consisted of a sublabial approach combined with endonasal endoscopic surgery (50%), endonasal endoscopic surgery alone (45%), and Denker's operation (5%). All patients had a successful outcome without recurrence.ConclusionConservative surgical approaches such as sublabial or endonasal endoscopic surgery alone or in combination lead to excellent outcomes without recurrence. We propose the term “OHMS” to better describe this rare pathology.SignificanceOur report is the largest series of OHMS to date.