鼻侧切开术对鼻通气功能的影响

The impact of lateral rhinotomy on nasal airway

目的 :探讨鼻侧切开上颌窦内侧壁切除术对鼻通气功能的影响。方法 :对 16例鼻腔鼻窦良性肿瘤患者行鼻侧切开上颌窦内侧壁切除术 ,随诊观察 6个月～ 2 .5年 ,观察内容包括主观感觉、CT和声反射鼻测压计检查等项目。结果 :患者在术后 3个月内有鼻阻塞等不适 ,3个月后随着鼻腔内干痂消失则无明显鼻阻塞感 ;术后患侧鼻阻力明显下降 ,而总鼻阻力下降则无前者明显 ;鼻粘膜在术后 1年内随时间的延长逐渐增厚 ,以上颌窦内侧壁下缘残壁和下鼻甲残缘等有骨性隆起部位的增生尤为显著 ,之后则无明显变化。结论 :鼻侧切开上颌窦内侧壁切除术对鼻腔通气功能无显著影响 ,是治疗鼻腔鼻窦肿瘤的理想术式之一。

Objective:In order to ascertain the lateral operation and medial maxillectomy affect on nasal airway.Method:Report 16 cases of nasal cavity or nasal sinus neoplasm who were therapied by lateral rhinotomy and medial maxillectomy.They were observed by acoustic rhinometer (AR) and CT examination in 1～ 2.5 years after the surgery. Result:The feeling of nasal obstruct were disappeared in 3 months after the surgery. The nasal airway resistance(NAR) of the ill nasal cavity was markedly decreased after the surgery, and the total NAR were decreasing unmarkably. The mucous proliferation was notable only in the first year after surgery, and especially on remains of the inferior turbinate or extra wall of nasal cavity.Conclusion:Lateral rhinotomy operation and medial maxillectomy have less impact on nasal airway and the functions.