鼻内镜下额筛窦骨瘤切除术

Resection of frontal ethmoid sinus osteomas with nasal endoscopy

目的:评价额筛窦骨瘤鼻内镜径路切除术的效果。方法:18例额筛窦骨瘤患者中,位于额窦者8例,筛窦者6例,起源于筛窦突入额窦者4例,骨瘤大小为1cm×1cm×1cm～1.5cm×3.0cm×4.0cm,单纯采用鼻内镜径路切除17例,鼻内镜联合鼻外径路切除1例。结果:全部患者均完整切除肿瘤,无脑脊液鼻漏和眶筋膜损伤等并发症。术后随访6个月～3年,术前症状消失,未见复发。结论:对于额筛窦骨瘤,通过鼻内镜必要时结合眉弓切口外径路手术能够完整切除,并能够保护颅底、额窦后壁以及眶纸板等重要结构免受损伤。

Objective：To evaluate the effect of resection of frontal ethmoid sinus osteomas with nasal endoscopy. Method：Eighteen cases of frontal ethmoid sinus osteoma from 2005 to 2008 were enrolled in our study, including 8 cases of frontal sinus osteomas, 6 cases of ethmoid osteomas and 4 cases of frontal sinus osteomas extending to ethmoid sinus. Seventeen cases were treated by an endoscopic approach alone, and one case treated by a combined endoscopic and an external approach. Result： All cases were resected completely without complications. The preoperative symptoms disappeared without recurrence within the follow up periods, ranging from 6 months to 3 years, Conclusion：Most frontal ethmoid sinus osteomas can be resected with nasal endoscopy aided by extra nasal incision in some cases.