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本文对慢性鼻窦炎五个基本术式的价值、目的、适应症等进行讨论。一、鼻内开窗:适应于单侧上颌窦炎。优点为简单、快速,若能扩大窗口及保持通畅,效果较好。缺点是术野暴露差,窗封闭可能性大。二、上颌窦根治术:最常使用。优点是暴露好,可以清楚地观察窦内病变及建立永久性鼻窦开窗。适应症为慢性颌窦炎(包括牙源性上颌窦炎及有特殊解剖问题者)、上颌窦内可疑新生物、放疗中解决引流目的、经上颌窦开放筛窦、面部中间骨折的复位、颌内动脉结扎、蝶窦脑垂体问题、翼管神经切除及恶性眼球突出的眼眶减压。
This article discusses the value, purpose and indications of five basic surgical procedures for chronic sinusitis. First, intranasal fenestration: Adapted to unilateral maxillary sinusitis. The advantages of simple, fast, if you can expand the window and remain open, the effect is better. Drawback is the poor surgical field exposure, window closure possibility. Second, maxillary sinus radical mastectomy: the most commonly used. The advantage is good exposure, you can clearly observe the sinus lesions and the establishment of a permanent sinus window. Indications for chronic maxillary sinusitis (including odontogenic maxillary sinusitis and have a special anatomical problems), the suspicious new creature in the maxillary sinus, radiotherapy to solve the purpose of drainage, the maxillary sinus open ethmoid, facial fracture reduction, jaw Internal artery ligation, pituitary pituitary problems, pterygoid nerve removal and malignant orbital decompression.