鼻内镜下鼻窦骨纤维异常增殖症累及颅底或眼眶的手术治疗
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南京大学医学院附属鼓楼医院 耳鼻咽喉头颈外科 江苏省医学重点学科

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基金项目: 国家自然科学基金面上项目(82071044),江苏省科教强卫工程江苏省重点学科项目(ZDXKB2016015)


Surgical treatment of fibrous dysplasia of paranasal sinuses involving skull base or orbit under nasal endoscopic
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Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Jiangsu Provincial Key Medical Discipline Laboratory

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    目的 探讨鼻内镜下鼻窦骨纤维异常增殖症累及颅底或眼眶的手术治疗与经验总结。方法 回顾性分析2017年7月~2020年12月南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科收治的13例采用鼻内镜手术的累及颅底或眼眶的鼻窦骨纤维异常增殖症患者的临床资料,结合手术治疗及术后疗效进行综合探究。结果 13例患者术后均无严重并发症,受累颅底或眼眶病变组织彻底切除,无眼球功能障碍及脑脊液鼻漏。随访6月~48月,所有患者均无复发。结论 对于累及颅底或眼眶的鼻窦骨纤维异常增殖症的患者,鼻内镜结合导航及等离子技术可彻底切除病变组织以达到功能重建的效果。

    Abstract:

    Objective: To investigate the surgical treatment and experience of fibrous dysplasia of paranasal sinuses involving skull base or orbit under nasal endoscopic. Method: The clinical date of 13 patients treated with endoscopic surgical strategy for fibrous dysplasia of paranasal sinuses involving skull base or orbit, combined with the surgical and postoperative treatment and the effect to conduct comprehensive exploration. Result: All of patients exhibited no severe complications, the affected skull base or orbital lesions were completely resected, no ocular dysfunction and cerebrospinal fluid rhinorrhea were observed. Follow-up period ranged from 6 to 48 months, aAll patients had no recurrence. Conclusion: For patients with fibrous dysplasia of paranasal sinuses involving skull base or orbit, nasal endoscopy combined with navigation and plasma technology can completely remove the diseased tissue to achieve the effect of functional reconstruction.

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  • 收稿日期:2021-06-23
  • 最后修改日期:2021-07-22
  • 录用日期:2021-07-26
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