上顎部分切除において鼻用内視鏡ガイドの有用性を認めた3症例

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タイトル別名
  • Partial maxillectomy assisted by nasal endoscopy

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Partial maxillectomy is one of the standard treatments for sinonasal malignant tumors. By combining this procedure with chemoradaition therapy, we have achieved a good prognosis and a better quality of life in our patient group. However, in some instances, visibility during surgery was adversely affected due to bleeding and blind spots. To improve these problems, nasal endoscopy was utilized to assist partial maxillectomy. Three patients who received partial maxillectomy assisted by nasal endoscopy were reviewed. Two patients were diagnosed with squamous cell carcinoma and one with inverted papilloma. The advantage of incorporating nasal endoscopy to the surgery include: 1) improved management of visibility in the surgical field, 2) facilitation of cooperation between primary surgeon and assistants, 3) image recording was possible for use in education, 4) overall limited invasive surgery was feasible in some patients by preserving key anatomical structures. Partial maxillectomy assisted by sinonasal endoscopy was useful in the three patients evaluated. Further analysis is needed to expand aspects of this approach.

収録刊行物

  • 頭頸部外科

    頭頸部外科 20 (3), 195-200, 2011

    特定非営利活動法人 日本頭頸部外科学会

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