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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Modified endoscopic maxillary medial sinusotomy for sinonasal inverted papilloma with attachment to the anterior medial wall of maxillary sinus
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Modified endoscopic maxillary medial sinusotomy for sinonasal inverted papilloma with attachment to the anterior medial wall of maxillary sinus

机译：改良内镜上颌窦内鼻窦切开术治疗鼻窦倒置性乳头状瘤并附着于上颌窦前内侧壁

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Objectives: The endoscopic management of inverted papilloma (IP) has gained in popularity over the last 15 years. However, the appropriate management of lesions involving the anterior medial wall of the maxillary sinus still has to be determined. Methods: We performed a retrospective review of the surgical results for patients with IP attached to the anterior medial wall of the maxillary sinus in the Otolaryngology, Head and Neck Surgery Department, Beijing TongRen Hospital. The tumors were removed by using our surgical technique of modified endoscopic maxillary medial sinusotomy, which was defined as an extended endoscopic medial maxillectomy with preservation of the nasolacrimal duct and inferior turbinate. Sinus endoscopy was used to screen for disease after endoscopic resection and the clinical outcomes were analyzed. Results: A total of 7 patients (4 males and 3 females) were identified. Pre-and postoperative pathological examinations revealed inverted papilloma as the diagnosis. All tumors were defined as Krouse III lesions. There were no complications recorded as a result of surgery. All patients remain disease free with a mean follow-up of 35.7 months (range 20-68 months). Conclusion: Sinonasal IP with attachment to the anterior medial portion of the maxillary sinus can be treated successfully using modified endoscopic maxillary medial sinusotomy with preservation of the nasolacrimal duct and inferior turbinate.
机译：目的：内窥镜治疗倒置乳头状瘤（IP）在过去的15年中已越来越普及。然而，仍需确定涉及上颌窦前内侧壁的病变的适当处理。方法：我们对北京同仁医院耳鼻咽喉头颈外科的IP上颌窦前内侧壁附着IP患者的手术结果进行了回顾性回顾。使用我们改良的内镜上颌内侧鼻窦切开术的外科手术技术切除了肿瘤，该技术被定义为扩大的内镜下颌上颌窦切除术，保留了鼻泪管和下鼻甲。鼻内窥镜检查用于内镜切除后的疾病筛查，并分析其临床结局。结果：共鉴定出7例患者（男4例，女3例）。术前和术后病理检查显示乳头状乳头状瘤为诊断。将所有肿瘤定义为Krouse III病变。没有手术引起的并发症记录。所有患者均无疾病，平均随访35.7个月（范围20-68个月）。结论：改良的内镜上颌内侧鼻窦切开术可保留鼻泪管和下鼻甲，成功地治疗了附着在上颌窦前内侧部分的鼻窦IP。

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