+ Holmium laser and endoscopic treatment of inverted papilloma of the maxillary sinus.docVIP

 PAGE \* MERGEFORMAT 6 + Holmium laser and endoscopic treatment of inverted papilloma of the maxillary sinus [Keywords:] nasal endoscopy, holmium laser, maxillary sinus inverted papilloma Sinonasal inverted papilloma (NIP is more common in the Nose of a benign tumor, its clinical features are easy to recur after surgery, a malignant tendency. The tumors from the nasal wall and maxillary sinus wall, which maxillary sinus is both one of the original tumor, but also easy to relapse after surgery site. line NIP surgery, how to deal with lesions in the maxillary sinus, becoming one of the major surgery. now select the 2001 summary of 12 cases in 2006 NIP patients were followed up for 1 to 4 years, are as follows. 1 Materials and Methods 1.1 General information on 12 cases from 2001 to 2006 in our hospital-line treatment of patients with endoscopic surgery, preoperative or postoperative pathology reports were inverted papilloma. Aged 34 to 72 years, mean 53 years, of which 9 males, 3 females, relapse more than 1 in 4 cases. preoperative nasal endoscopy, sinus CT, according to Krouse’s method of classification of cases [1], 8 cases belonging to grade (lesion limited to the ethmoid, maxillary the inside of the upper sinus, and 4 are (lesions, including the maxillary sinus lateral or frontal or sphenoid lower or intrusion, are unilateral lesions. 1.2 The use of endoscopic surgical instruments (Karl Storz0 , 30 , 70 endoscope, XPS power system (Medtronic Xomed Straight, 30 , 60 , 120 curved cutter, Ho-YAG holmium laser treatment machine (Coherent wavelength of 2.1 m, optical pulse output diameter of 1.5 mm.12 patients were under general anesthesia in surgery, endoscopic sinus anterior wall of the joint (Caldwell-Lue surgical removal of tumor surgery path, such as the ethmoid, frontal, butterfly sinus, turbinate with lesions involving the same period, endoscopic treatment. intraoperative maxillary sinus anterior wall window of about 0.5 ~ 1.0 cm, 4 mm o