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目的:评价额钻辅助定位在经鼻内镜额窦修正手术中的应用及意义。方法:回顾性分析11例(18侧)因复发性额窦炎行经鼻内镜额窦修正手术患者的资料,11例患者术中均不能辨认额窦开口,以额钻辅助定位额窦开口,术后随访观察评估疗效。结果:11例(18侧)额窦炎患者均在额钻辅助定位的帮助下,成功开放额窦,除1例(1侧)术中损伤筛前动脉引起出血外,余10例(17侧)未发生严重并发症。术后随访7～35个月,术前症状均消失,经鼻内镜检查额窦口开放良好。结论:在经鼻内镜额窦修正手术中以额钻辅助定位额窦开口是一种简单、易行、安全、可靠的方法。
Objective: To evaluate the application and significance of forehead drilling assisted positioning in nasal endoscopic sinus surgery. Methods: The data of 11 patients (18 sides) who underwent nasal endoscopic sinus surgery for recurrent frontal sinusitis were retrospectively analyzed. All the 11 patients were unable to identify the frontal sinus opening during surgery, Follow-up after surgery to evaluate the efficacy. Results: Eleven patients (18 sides) with frontal sinusitis were successfully opened with frontal sinus assisted by frontal drilling. Except for one case (1 side), the other 10 cases (17 sides No serious complications occurred. All cases were followed up for 7 to 35 months. The preoperative symptoms disappeared. Nasal endoscopy revealed a good open frontal ostium. CONCLUSIONS: Nasal endoscopic sinus surgery is a simple, easy, safe, and reliable method for frontal sinus opening with frontal drilling.