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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Endoscopic surgery with powered instrumentation for isolated sphenoid sinus disease.
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Endoscopic surgery with powered instrumentation for isolated sphenoid sinus disease.

机译：内窥镜手术及动力器械治疗孤立性蝶窦疾病。

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OBJECTIVE: Isolated sphenoid sinus disease (ISSD) is a relatively uncommon disease. In this study, we investigate the diagnosis and pathology of ISSD and compare endoscopic treatment with powered instrumentation with conventional surgical instruments for ISSD. METHODS: Ninety-six out of 2,263 patients who underwent endoscopic surgery were diagnosed with ISSD by nasal endoscopy and computed tomography scan. Ninety-six cases of confirmed ISSD were treated by endoscopic sphenoidotomy, of which 44 cases were operated using powered instrumentation and 52 using conventional instruments. All patients were followed up for a period ranging from 18 to 54 months (mean 26 months) and the surgical outcomes were retrospectively reviewed. RESULTS: The pathological findings of these patients included sphenoid sinusitis, fungal disease, sphenoid cyst, inverted papilloma, malignant tumor, sphenoid polyp, and foreign body. The most common initial symptom was headache, followed by visual changes and nasal symptoms. After endoscopic surgery, drainage of the sphenoid was accomplished in 87 of the 96 patients (91%). Of all patients, 9.4% (9/96) had recurrent incidence, 22% (21/96) sphenoid ostium synechia, and 51% (49/96) partial middle turbinectomy. Comparing the surgical outcomes between two operative approaches, recurrent incidence, sphenoid ostium synechia, and partial middle turbinectomy were significantly lower in the powered instrumentation group (2, 7, and 14%) than in the conventional instrument group (15, 35, and 83%;p < 0.05). No serious complication occurred in either group. CONCLUSIONS: Powered instrumentation is more effective than conventional instruments in the treatment of ISSD and provides a minimally invasive surgical approach to the sphenoid sinus.
机译：目的：孤立蝶窦疾病（ISSD）是一种相对罕见的疾病。在这项研究中，我们调查了ISSD的诊断和病理，并比较了动力器械与常规手术器械对ISSD的内镜治疗。方法：接受鼻内镜和计算机断层扫描的2263例接受内镜手术的患者中有96例被诊断为ISSD。内镜下经蝶窦切开术治疗了确诊的ISSD患者96例，其中电动手术44例，常规器械52例。所有患者均接受了18到54个月（平均26个月）的随访，并回顾了手术结果。结果：这些患者的病理结果包括蝶窦炎，真菌病，蝶窦囊肿，倒置乳头状瘤，恶性肿瘤，蝶窦息肉和异物。最常见的初始症状是头痛，其次是视觉变化和鼻部症状。内窥镜手术后，在96例患者中有87例（91％）完成了蝶骨引流。在所有患者中，有9.4％（9/96）的复发率，22％（21/96）的蝶骨窦粘连和51％（49/96）的部分中位肾小管切开术。比较两种手术方法的手术结果，动力器械组（2％，7％和14％）的复发发生率，蝶窦口粘连和部分中段肾切开术显着低于常规器械组（15％，35％和83％） ％; p <0.05）。两组均未发生严重并发症。结论：电动器械在治疗ISSD方面比常规器械更有效，并且为蝶窦提供了微创手术方法。

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