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自1902年法国Moure报告用鼻外切开法进入筛窦以来,欧美各国对这一手术在技巧上不断进行了改进,目前已被广泛应用。该术式可整块切除筛窦及上颌窦的内半大部,但在耳鼻咽喉科教科书及手术书中,对之很少有详细记载。作者们用此术式对鼻腔肿瘤或偏于鼻腔侧壁的上颌窦肿瘤以及向筛窦扩展的肿瘤,都能整块地将肿瘤切除,并获得了满意效果。【术式】1.体位及麻醉:采用气管内插管全麻。取仰卧位,上身抬高10～15°,头部呈水平,可减少术中出血。为防止损伤球结膜,患侧眼内涂入
Since the French Moure report in 1902 with nasal incision into the ethmoid, the countries in Europe and the United States on this technique in the continuous improvement of skills, has been widely used. The surgical resection of the entire ethmoid and maxillary sinus medial half, but in otolaryngology textbooks and surgical books, there is little documented in detail. Using this technique, the authors were able to excise the tumor monolithically with satisfactory results on nasal tumors or on the side of the nasal cavity of the maxillary sinus tumor and the expansion to the ethmoid sinus. [Surgical] 1. Position and anesthesia: endotracheal intubation anesthesia. Supine position, upper body elevation 10 ~ 15 °, the head was horizontal, can reduce intraoperative bleeding. To prevent damage to the conjunctiva, ipsilateral eye coating