Endoscopic management of frontal sinus disease
Endoscopic management of frontal sinus disease
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额窦疾病的内镜治疗
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
L. Close
中科院分区：
文献类型：
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作者：
S. Schaefer;L. Close
根据病理过程，额窦疾病的治疗包括鼻窦闭塞或消融，或恢复鼻腔引流。鼻内窥镜扩大额窝和鼻孔，并从额窦内侧切除病变，为选定患者提供了一种与以往手术相比的微创替代方案。为了更好地了解这种手术的适应症、局限性和潜在的问题，报告了我们在30个月内对36例患者进行内窥镜额窦切开术的经验。随访期内，21例症状完全消失，11例好转，但术后至少有一次鼻窦炎或头痛发作，3例病情加重，其中2例需行额窦填塞以控制病情。虽然内窥镜额窦切开术在某些患者看来是传统额窦手术的一种有用的替代方法，但读者需要注意的是，这种手术在技术上是困难的，还没有经受住任何额窦手术所需时间的考验。
Depending on the pathologic process, the treatment of frontal sinus disease has consisted of obliteration or ablation of the sinus, or restoration of drainage into the nose. Intranasal endoscopic enlargement of the frontal recess and ostium, and removal of disease from the medial aspect of the frontal sinus offers a minimally invasive alternative to previous operations in selected patients. To better understand the indications, limitations, and potential problems with this operation, our experience with endoscopic frontal sinusotomy in 36 patients over a 30‐month period is reported. During the follow‐up period, 21 patients had complete resolution of all symptoms, 11 patients were improved but had at least one episode of sinusitis or headache post‐operatively, and 3 patients were worse, 2 of whom required frontal sinus obliteration for control of disease. Although endoscopic frontal sinusotomy appears to be a useful alternative to traditional frontal sinus procedures in selected patients, the reader is cautioned that such surgery is technically difficult and has not yet stood the test of time required of any frontal sinus operation.