目的:评价额窦光导探子辅助定位在鼻内镜额窦手术中的应用及意义。方法:回顾性分析58例(86侧)经鼻内镜额窦手术患者的资料,术中以额窦光导探子辅助定位额窦开口,术后随访观察评估疗效。结果:58例(86侧)额窦炎患者均在额窦光导探子辅助定位的帮助下,术中成功开放额窦窦口,无颅内及眶内并发症发生。术后随访6-18个月,无额窦炎复发。51例患者术前症状完全改善,7例术前症状明显改善,经鼻内镜检查额窦口开放良好。结论:在鼻内镜额窦手术中以额窦光导探子辅助定位额窦开口是一种简单、易行、安全、可靠的方法,对于保证手术的成功、增强术者的信心、预防并发症的发生有重要的意义。
Objective To discuss the application of frontal sinus optical probe in endoscopic frontal sinus sur-gery. Method.. The clinical data of 58 adult patients (86 sides) suffering from chronic frontal sinusitis were ana-lyzed retrospectively. The patients received endoscopic frontal sinus surgery with frontal sinus optical probe be-cause of difficulty in confirming ostia under endoscope. All cases were followed up post operation to evaluate theefricacy. Result:The ostia of frontal sinus were successfully opened with this method in all cases, and no seriousintracranial or orbital complication occurred. After 6 to 18 months follow-up postoperatively, the symptoms van-ished in 51 cases and improved in 7 cases and none of all recurred. The endoscopic examinations showed well open-ing of frontal sinus ostia. Conclusion: Localization of frontal ostium with frontal sinus optical probe is a simple,convenient, safe and effective accessorial method for revision endoscopic frontal sinus surgery.