超越内窥镜:额骨成形术的持续作用-一个病例系列和循证分析。

IF 1 4区 医学 Q3 OTORHINOLARYNGOLOGY
José Alberto Fernandes, Patrícia Silva Sousa, Ricardo Damaso, Maria João Barros, António Castanheira
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引用次数: 0

摘要

额窦手术是鼻科学中技术要求最高的领域之一,因为额窦隐窝的解剖结构复杂,靠近眶和前颅窝等关键结构。虽然内窥镜鼻窦手术(ESS)是大多数鼻窦病变的标准,额骨成骨皮瓣(OPF)在某些临床情况下仍然很重要。目的:通过回顾病例系列和回顾当代文献,评估OPF在当前鼻外科实践中的作用。方法:对2007年至2019年在葡萄牙一家中心接受OPF治疗的11例患者进行回顾性分析。回顾了手术资料、适应证、入路和结果。还进行了文献综述以将研究结果置于背景中。结果:最常见的适应症是额窦骨瘤、眼眶受累粘液囊肿和难治性慢性额窦炎。采用上睑和双冠状切口,在某些情况下,联合ESS。无重大并发症发生,结果在功能和美观方面都非常令人满意。结论:尽管内窥镜技术取得了进步,OPF仍然是解剖学上具有挑战性、复发性或累及骨的额窦疾病的有价值的选择。本病例系列和文献回顾支持其在鼻内科综合外科设备中继续发挥作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond endoscopy: the ongoing role of frontal osteoplastic flap surgery-a case series and evidence-based analysis.

Introduction: Frontal sinus surgery is among the most technically demanding areas in rhinology due to the complex anatomy of the frontal recess and proximity to critical structures such as the orbit and anterior cranial fossa. Although endoscopic sinus surgery (ESS) is the standard for most sinonasal pathologies, the frontal osteoplastic flap (OPF) remains important in select clinical scenarios.

Objectives: To evaluate the role of OPF in current rhinologic practice by presenting a retrospective case series and reviewing contemporary literature.

Methods: A retrospective analysis was conducted on 11 patients who underwent OPF between 2007 and 2019 at a Portuguese center. Surgical data, indications, approaches, and outcomes were reviewed. A literature review was also performed to contextualize findings.

Results: The most common indications were frontal sinus osteomas, mucoceles with orbital involvement, and refractory chronic frontal sinusitis. Supraciliary and bicoronal incisions were used, and in some cases, combined with ESS. No major complications occurred, and outcomes were highly satisfactory both functionally and esthetically.

Conclusion: Despite advancements in endoscopic techniques, OPF remains a valuable option for anatomically challenging, recurrent, or bone-involving frontal sinus disease. This case series and literature review support its continued role in the comprehensive surgical armamentarium in rhinology.

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来源期刊
Acta Oto-Laryngologica
Acta Oto-Laryngologica 医学-耳鼻喉科学
CiteScore
2.50
自引率
0.00%
发文量
99
审稿时长
3-6 weeks
期刊介绍: Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.
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