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Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus

机译:内镜改性内膜颌面切除术,用于切除源自上颌窦整个圆周的倒乳头瘤

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摘要

For treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new surgical approach named endoscopic modified medial maxillectomy (EMMM) was proposed. This approach can preserve the inferior turbinate and nasolacrimal duct. We successfully treated sinonasal IP with EMMM in a 71-year-old female patient. In this patient, the sinonasal IP originated from the entire circumference of the maxillary sinus. EMMM is not a difficult procedure and provides good visibility of the operative field. Lacrimation and empty nose syndrome do not occur postoperatively as the nasolacrimal duct and inferior turbinate are preserved. EMMM is considered to be a very favorable approach for treatment of sinonasal IP.
机译:对于治疗Sinonasal倒乳头瘤瘤(IP),必须具有明确的诊断,以通过计算的断层扫描(CT)和磁共振成像(MRI)来确定其来源,并选择基于暂存系统的适当手术方法Krouse提出。最近,提出了一种名为内窥镜修饰的内膜颌骨菌切除术(EMMM)的新手术方法。这种方法可以保留较差的鼻甲和鼻升降管道。我们在71岁的女性患者中成功地将Sinonasal IP与EMMM处理过。在该患者中,Sinonasal IP起源于上颌窦的整个圆周。 EMMM不是一个困难的程序,并提供了操作场的良好可见性。术后不会发生肺活量和空鼻综合征,因为保留了鼻升降管道和下鼻甲。 EMMM被认为是一种非常有利的处理Sinonasal IP方法。

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