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为探讨青少年鼻窦炎手术治疗的可行性，对３８例（７２侧）８岁～１６岁鼻窦炎患者施行局麻手术。３８例中慢性上颌窦炎（包括鼻道窦口复合体炎症）２８例（５５侧）采用勾突切除、筛窦开放及中鼻道开窗术式（内窥镜下功能手术２６侧）。全组鼻窦炎并发鼻息肉１０例（１６侧）采用鼻内筛窦切除、中鼻道开窗术式，伴随下鼻甲或腺样体肥大者行电烧或激光处理。术后０５ａ随访３３例（８９％），４２侧（５８％）中鼻道开窗保持通畅。认为选择术式和提高手术技巧是成功的关键。
To explore the feasibility of surgical treatment of juvenile sinusitis, local anesthesia was performed on 38 patients (72 sides) aged 8-16 years with sinusitis. Thirty-eight patients (55 sides) with chronic maxillary sinusitis (including inflammation of nasal sinus ostium complex) were treated with excisional process, open ethmoid sinus, and fenestration (endoscopic surgery 26). The whole group of sinusitis complicated with nasal polyps in 10 cases (16 sides) with intra-ethmoid sinus resection, middle-nasal fenestration, accompanied by inferior turbinate or adenoid hypertrophy by burning or laser treatment. Totally, 33 cases (89%) were followed up for 0.5 years and 42 cases (58%) were kept in unobstructed middle ear window. It is the key to success that choosing surgery and improving surgical skills are important.