错过的上鼻骨综合征及其管理
Nagalingeswaran Ahilasamy1, Rajendran Dinesh Kumar2, Sowmya S2
1Ahilasamy ENT Centre, Chennai, Tamil Nadu 600 042 India.
概括
复发性鼻炎可能是手术后错过的上腔鼻的结果. 及时进行手术修复以创建一个单一的,宽的中间肉骨,可以消除症状并防止复发.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术解剖学手术解剖学
背景情况:
- 上鼻骨的功能性阻塞,通常是由于一个位移的未切割的过程,阻碍了鼻通风和排水.
- 导致鼻的炎症可能会损害骨 - 鼻接口,导致上鼻排水不足.
- 不完全切割过程的手术切除,未包括自然的骨,可能导致错过骨综合征和持续性鼻疾病.
研究的目的:
- 介绍一个错过的上腔骨综合征的病例及其成功的管理.
- 突出识别和解决错过的上腔骨综合征的重要性.
主要方法:
- 评估了一名28岁的男性患者,在之前的功能性内镜鼻手术 (FESS) 后患有慢性鼻后滴水和面部疼痛.
- 诊断性鼻腔内镜和CT扫描揭示了粘膜液和大鼻的不透明性,具有广泛的内.
- 修订FESS涉及将双骨转换为单个,宽的中间肉骨,使用专门的手术仪器.
主要成果:
- 修复手术成功地创建了一个单一宽的中间肉,防止上鼻的粘液循环.
- 手术后一年,患者仍然无症状,鼻炎没有复发.
- 管理策略有效地解决了患者的慢性症状.
结论:
- 错过的上鼻骨综合征是FESS后复发性鼻炎的重要原因.
- 通过创建一个统一的广泛的中间肉体内静脉结构来识别和手术纠正这种情况,对于成功的患者结果至关重要.
- 这种方法可以确保充分的鼻腔通风和排水,防止疾病复发.
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