论文部分内容阅读
目的探讨上颌窦神经鞘瘤的诊断和治疗。方法回顾1998年至2008年,通过3例上颌窦神经鞘瘤4次手术治疗,随访至今,分析诊断治疗观察结果。结果 3例患者均为术后病理确诊,1例经柯-陆氏进路行上颌窦根治切除肿物手术,手术完全切除,1例单纯局麻经鼻内镜手术,术后1年复发,再次鼻侧切开手术,完全切除肿瘤,1例辅助唇龈小切口,上颌窦前壁,鼻腔鼻内窥镜下联合进路手术,完全切除肿瘤,术后没有面部畸形和瘢痕,挤压的下鼻甲及鼻中隔左移术后不久自行回复,鼻腔黏膜功能恢复好,随访至今3例患者均无复发。结论上颌窦神经鞘瘤的诊断须病理,治疗需手术完全切除。鼻内窥镜下经鼻腔及上颌窦前壁联合进路手术治疗良性上颌窦神经鞘瘤视野清楚,可以完全切除肿瘤,效果满意。
Objective To investigate the diagnosis and treatment of maxillary sinus schwannoma. Methods From 1998 to 2008, 3 cases of maxillary sinus schwannoma were treated by 4 surgeries, and the results of diagnosis and treatment were analyzed up to now. Results All the 3 patients were diagnosed pathologically. One case underwent maxillary radical resection of the tumor by Ke - Lu ’s route, the operation was completely resected. One case of simple local anesthesia and endoscopic nasal endoscopy was performed, one year after operation, Again nasal surgery, complete resection of the tumor, 1 case of assisted lip gingival incision, anterior maxillary sinus, nasal endoscopic sinus surgery, complete removal of the tumor, postoperative no facial deformities and scars, squeezed The inferior turbinate and nasal septum left shift shortly after self-response, functional recovery of the nasal mucosa, follow-up to 3 patients had no recurrence. Conclusion The diagnosis of maxillary sinus schwannoma should be pathological, the treatment required surgical resection. Endoscopic nasal cavity and maxillary sinus anterior approach combined with surgical treatment of benign maxillary sinus schwannoma clear vision, the tumor can be completely removed with satisfactory results.