论文部分内容阅读
目的探讨改良的面中掀翻径路手术治疗累及上颌骨的鼻腔、鼻窦肿瘤的临床应用情况。方法根据28例鼻腔、鼻窦良恶性肿瘤患者的病变部位、临床分期等不同情况,采用改良的面中掀翻径路暴露术野手术,观察术中显露、出血及手术难易,对比肿瘤患者术后局部外观、功能损害及预后。结果改良的面中掀翻径路上颌骨手术过程顺利,外观术后面部轻度水肿,无明显凹陷,无并发症发生;随访28例采用面中掀翻径路手术患者,术后3～5个月面部无明显畸形,术腔有干痂形成,3例有口鼻瘘。再后出现患侧鼻翼、鼻唇沟处凹陷。部分患者存在开放性鼻音。结论面中掀翻径路手术可以完成上颌骨扩大切除以及部分切除手术,具有手术时间短、损伤轻、恢复快,部分功能保留好以及无瘢痕等优点。
Objective To investigate the clinical application of improved facelift and overturning of nasal and sinus tumors involving the maxilla. Methods According to the pathological changes and clinical stages of 28 patients with benign and malignant tumors of nasal cavity and nasal sinus, we used the modified facelift and overturned path to expose the surgical field. The operation revealed the hemorrhage and the operation was difficult. Local appearance, functional impairment and prognosis. Results The improved maxillofacial surgery procedure was smooth and the appearance of postoperative facial mild edema was obvious. There was no obvious depression and no complication occurred. Twenty-eight patients were treated with facelift overturning surgery and 3 to 5 months after operation No obvious facial deformity, dry scab formation in the cavity, 3 cases of oral and nasal fistula. Then there ipsilateral nose, nasolabial fold at the depression. Some patients have open nasals. Conclusion Surface overturning operation can complete the maxillary enlargement and resection and partial resection, which has the advantages of short operation time, light injury, quick recovery, partial function retention and no scar.