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慢性额窦炎的手术疗法一般可分为四种。(1)除去窦内所有病变及窦底骨壁,保留一个够大的鼻额通道。(2)凿去额窦前壁,清除窦内病变。(3)骨瓣成形法,刮净窦腔粘膜,用腹部脂肪封闭窦腔。(4)鼻额管再造术。此外还有第五种方法,即钻孔并切除额窦中隔,但应用尚不普遍。1976年Pope等用此法治疗11例慢性额窦炎并随访平均13.2月,其中10人未复发。Goodale等曾报道一病人患慢性额窦炎伴有脓囊肿,用此法获得成功。Newman等曾提到在单侧鼻额管区骨折病人用此法治疗,但建议同时在同侧作鼻额管重建。而Adkins等认为这类病人只需作额窦中隔切除已够,但Cantrell则谓单纯用此法无
Surgery for chronic frontal sinusitis can generally be divided into four. (1) to remove all the lesions in the sinus and sinus wall, leaving a large enough nasal passages. (2) chisel to the anterior sinus wall, clear the sinus lesions. (3) bone flap forming method, scraping net sinus mucosa, with closed abdominal sinus fat. (4) nasal tube reconstruction. There is also a fifth approach, drilling and resection of the frontal sinus septum, but its application is not yet widespread. Pope and other methods used in this treatment of 11 cases of chronic frontal sinusitis and follow-up an average of 13.2 months, of whom 10 did not relapse. Goodale et al reported a patient suffering from chronic frontal sinusitis accompanied by pus cysts, using this method to be successful. Newman et al. Mentioned that patients with unilateral nasal deltoid fractures should be treated with this method, but it is also recommended to reconstruct the nasal septum at the same time. Adkins and other patients think this kind of patient only for sinus resection is enough, but Cantrell said that this method alone