额筛窦骨瘤切除术并一期骨质缺损钛网修补术

Resection of frontal ethmoid sinus osteoma combined with titanium mesh repair for primary bone defect

目的探讨额筛窦骨瘤鼻内镜联合鼻外切口骨瘤切除术并一期骨质缺损钛网修补术利弊。方法收集我科近2年来收入院并行鼻内镜联合鼻外切口巨大额筛窦骨瘤切除术患者共4例,手术同时行一期钛网修补术,术后均复查CT,对其临床及手术资料进行分析。结果所有患者均术后恢复良好,钛网修补在位,额部外形恢复良好。结论在患者经济条件允许的情况下,一期钛网修复额筛窦骨质缺损有助于患者额面部外形恢复,利于额筛窦引流。

OBJECTIVE To investigate the advantages and disadvantages of endoscopic sinus osteoma resection combined with titanium mesh repair for primary bone defect after resection of the fronto-ethmoidal sinus osteoma.METHODS Four patients with giant fronto-ethmoidal sinus osteoma underwent endoscopic sinus surgery combined with titanium mesh repair in our department in the past 2 years.All patients were examined by CT after surgery,and the clinical and surgical data were analyzed.RESULTS All patients recovered well after operation.The titanium mesh was used to repair the defect and the forehead contour recovered well.CONCLUSION-One-stage titanium-mesh repair of fronto-ethmoidal sinus bone defect is helpful to the recovery of fronto-facial contour and conducive to fronto-ethmoidal sinus drainage when the economic conditions permit.