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目前上颌窦根治术均惯用软组织横切口,术后窦腔用碘仿纱条填塞。苏联学者报导(国外医学耳鼻咽喉科分册(1):31 1984)采用垂直切口术后的面颊部肿胀和不良感觉较水平切口为轻。由于窦前壁软组织中的血管、淋巴管及感觉神经均系从上向下纵行走向,故直切口比横切口对组织损伤较少。我院耳鼻咽喉科于1980～1986年7月在95例次的上颌窦根治术中有72例次术后用胶管引流(其中36例次是1984年7月份开始改用垂直切口,36例次用横切口),有23例次采用横切口及术后窦腔用碘仿纱条填塞。现把临床观察报导如下。一、临床情况 95例次上颌窦根治术采用的切口方式、窦腔处理及术后反应情况见表。从表中可以看出,术后患侧面肿、上牙酸
Currently maxillary sinus surgery are commonly used soft tissue transverse incision, postoperative sinus filled with iodoform gauze. Soviet scholar (Foreign Medical Otorhinolaryngology Volume (1): 31 1984) after the use of vertical incision cheek swelling and poor feeling than the level of incision is light. As the anterior sinus wall soft tissue in the blood vessels, lymphatic vessels and sensory nerves are down from the longitudinal to the line, so the straight incision than the transverse incision less tissue damage. Otolaryngology in our hospital from 1980 to July 1986 in 95 cases of radical mastectomy in 72 cases after surgery with plastic drainage tube (of which 36 cases were in 1984 July began to switch to vertical incision, 36 cases With transverse incision), there are 23 cases with transverse incision and postoperative sinus cavity filled with iodoform gauze. Now clinical reports are as follows. First, the clinical situation 95 cases of maxillary sinus radical mastectomy incision, sinus treatment and postoperative response shown in the table. As can be seen from the table, after surgery, the affected side of the swollen, on the acid