介入柔性支气管镜治疗额窦病变的微创内镜鼻窦手术:病例报告。

IF 2.3 Q1 OTORHINOLARYNGOLOGY
Allergy & Rhinology Pub Date : 2021-09-06 eCollection Date: 2021-01-01 DOI:10.1177/21526567211030889
Yann Litzistorf, François Gorostidi, Antoine Reinhard
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引用次数: 1

摘要

背景:额窦外侧病变很难观察到,传统的内窥镜鼻窦手术(ESS)使用刚性内窥镜和器械进行治疗。因此,他们通常需要扩大内窥镜或外部入路。方法和结果:我们描述了2例无扩展入路的额部ESS介入柔性支气管镜的优点:(1)额窦真菌球伴额筛细胞。柔性支气管镜可以治疗额窦的所有凹陷,并通过draft IIa打开额筛细胞。(2)采用同样的技术成功治疗了额筛细胞阻塞引流通路的翻修手术。分别随访4个月和15个月后,患者未出现并发症或复发症状。结论:通过有限的内镜入路,柔性支气管镜可以很好地观察和治疗外侧额窦病变。通过镜内器械可以切除额筛细胞。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Minimally Invasive Endoscopic Sinus Surgery for Frontal Sinus Pathologies Using Interventional Flexible Bronchoscopy: Case Reports.

Minimally Invasive Endoscopic Sinus Surgery for Frontal Sinus Pathologies Using Interventional Flexible Bronchoscopy: Case Reports.

Minimally Invasive Endoscopic Sinus Surgery for Frontal Sinus Pathologies Using Interventional Flexible Bronchoscopy: Case Reports.

Minimally Invasive Endoscopic Sinus Surgery for Frontal Sinus Pathologies Using Interventional Flexible Bronchoscopy: Case Reports.

Background: Lateral pathologies of the frontal sinus are difficult to visualize and treat with classical endoscopic sinus surgery (ESS) using rigid endoscopes and instruments. Hence, they often require extended endoscopic or external approaches. Methods and Results: We describe the advantages of using interventional flexible bronchoscopy in frontal ESS without extended approaches in 2 illustrated cases: (1) A fungus ball in the frontal sinus with a frontoethmoidal cell. The flexible bronchoscope allowed treatment of all recesses of the frontal sinuses and the opening of a frontoethmoidal cell through a Draf IIa. (2) A revision surgery with a frontoethmoidal cell obstructing drainage pathway was successfully treated with this same technique. Patients did not experience complications or recurrent symptomatology after, respectively, 4 and 15 months of follow-up. Conclusion: Flexible bronchoscopy allows a good visualization and treatment of lateral frontal sinus pathologies through limited endoscopic approaches. Through-the-scope instruments permit the resection of frontoethmoidal cells.

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来源期刊
Allergy & Rhinology
Allergy & Rhinology OTORHINOLARYNGOLOGY-
CiteScore
3.30
自引率
4.50%
发文量
11
审稿时长
15 weeks
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