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目的:评价额筛窦骨瘤鼻内镜径路切除术的效果。方法:18例额筛窦骨瘤患者中,位于额窦者8例,筛窦者6例,起源于筛窦突入额窦者4例,骨瘤大小为1cm×1cm×1cm～1.5cm×3.0cm×4.0cm,单纯采用鼻内镜径路切除17例,鼻内镜联合鼻外径路切除1例。结果:全部患者均完整切除肿瘤,无脑脊液鼻漏和眶筋膜损伤等并发症。术后随访6个月～3年,术前症状消失,未见复发。结论:对于额筛窦骨瘤,通过鼻内镜必要时结合眉弓切口外径路手术能够完整切除,并能够保护颅底、额窦后壁以及眶纸板等重要结构免受损伤。
Objective: To evaluate the effect of nasal endoscopic cholecystectomy on frontal sinusoids. Methods: Of the 18 patients with frontal sinusitis, 8 were located in the frontal sinus, 6 were ethmoid sinus, 4 were originated from the ethmoid sinus, and the size of the osteoma was 1cm × 1cm × 1cm ~ 1.5cm × 3.0 cm × 4.0cm, simple endoscopic nasal endoscopic resection in 17 cases, endoscopic nasal endoscopic resection in 1 case. Results: All the patients had complete resection of the tumor, no complications of cerebrospinal fluid rhinorrhea and orbital fascia injury. Follow-up 6 months to 3 years after surgery, preoperative symptoms disappeared, no recurrence. CONCLUSIONS: For frontal sinus osteoma, complete removal is possible with endoscopic endoscopic surgery combined with eyebrow incision, and is able to protect important structures such as skull base, posterior wall of the frontal sinus and orbital cardboard.