鼻内镜下经鼻开窗术治疗上颌骨囊肿9例并文献复习

Endoscopic transnasal fenestration for maxillary bone cysts:a report of nine cases and a review of the literature

目的探讨鼻内镜下经鼻开窗术治疗上颌骨囊肿的可行性。方法回顾性分析9例上颌骨囊肿病例,其中成人8例、儿童1例,根据囊肿与上颌窦及鼻腔的位置关系,选择相应的手术路径在鼻内镜下经鼻行上颌骨囊肿开窗术,观察手术效果。并通过中国知网、万方医学网、外文医学信息资源检索平台检索国内外关于颌骨囊肿相关文献,进行数据总结。结果9例中1位1岁患者出现术后复发,其余患者均1次手术成功,术后随访6~24个月,囊腔引流通畅,囊腔均成上皮化改变。相关文献表明鼻内镜下经鼻上颌骨囊肿开窗术有以下优点:更具微创性、神经损伤小,有效改善患者生活质量。结论鼻内镜下经鼻开窗术治疗上颌骨囊肿具有临床应用价值,但对该术式的适应证及禁忌证有待进一步探讨。

Objective To investigate the feasibility of endoscopic transnasal fenestration in the treatment of maxillary bone cysts.Methods Nine patients with maxillary bone cysts,including eight adults and one child,were retrospectively analyzed.The corresponding surgical approach of endoscopic transnasal fenestration for maxillary bone cysts was selected based on the location of the cyst and the relationship between the cyst and the maxillary sinus and nasal cavity.The related literature on jaw cysts from China and abroad was retrieved through the China National Knowledge Infrastructure,Wanfang medical network,and foreign medical information resource retrieval platforms.Results Among the nine cases,only one 1-year-old patient had recurrence after surgery,while the other patients were successfully operated.The cyst cavity had unobstructed drainage and was epithelialized during a follow-up period of 6-24 months.The related literature showed that the transnasal endoscopic fenestration of maxillary bone cysts has the following advantages:it is highly minimally invasive,causing less nerve damage,and can effectively improve the quality of life of patients.It has become the first choice of treatment in rhinology.Conclusion Endoscopic transnasal fenestration for maxillary bone cysts has clinical application value;however,its indications and contraindications need to be further studied.