筛窦骨瘤鼻内镜微创手术切除(一例报告并文献复习)

Endoscopic resection of ethmoid osteoma:a case report and literature review

目的分析筛窦骨瘤的临床特征,探讨其诊治方法及鼻内镜下微创手术切除的优点。方法报告1例筛窦骨瘤的临床诊治及手术过程,并就筛窦骨瘤的特点与诊治方法进行文献回顾复习分析。结果高分辨率CT及三维重建技术有助于分辨骨瘤的大小、毗邻结构关系及术式选择,术中需防止脑脊液鼻漏、眶壁损伤等并发症的发生。结论筛窦为鼻窦骨瘤的好发部位,局限于筛窦及鼻腔的骨瘤适于鼻内镜下手术切除,具有手术创伤小、术后无面部瘢痕等优点。

Objective To present the clinical features,the diagnosis and treatment methods and the advantages of endoscopic resection of ethmoid osteoma.Methods To report one case of ethmoid osteoma and to review the related literatures.Results Fine-resolution CT and three-dimensional reconstruction technique help to determine osteoma size,adjacent structures and surgical options,which are necessary to prevent cerebrospinal fluid leak,orbital injury complications.Conclusion Ethmoid is the most vulnerable to osteoma in four paranasal sinuses.Endoscopic resection of ethmoid osteoma suites to the osteoma confined within ethmoid and nasal cavity and it does not result in postoperative facial scar with less trauma.