Modified radical maxillary surgery of 35 cases.doc

 PAGE \* MERGEFORMAT 5 Modified radical maxillary surgery of 35 cases [Keywords:] of the maxillary sinus ENT traditional sinus surgery as a radical one, because there is a large surgical injury, postoperative upper drainage is insufficient, after response to weight and other disadvantages, and the endoscopic sinus surgery in recent years with the extensive development, the use of the range smaller and smaller, but for some special patients with maxillary sinus diseases still need to line radical maxillary surgery. I’m good at the traditional radical maxillary surgery hospital at the same time, combining the advantages of endoscopic sinus surgery, the implementation of modified radical maxillary surgery, using a small incision, a small bone window, opening to expand the natural drainage of the maxillary sinus approach, since carried out from 2002 to 2007 a total of 35 cases of this operation, are as follows. 1 Materials and Methods 1.1 General Information The group of 35 patients, 22 males and 13 females, aged from 12 to 68 years, of which 23 cases of maxillary sinus polyps, nasal polyposis, 20 cases, 8 cases of maxillary sinus cyst, dentigerous cyst, 3 cases cheese , fungal maxillary sinusitis in 2 cases, the tooth root cyst in 3 cases, previously had nasal surgery, 4 cases were excision of nasal polyps. 1.2 Procedures 1.2.1 anesthesia to do the traditional radical resection of the maxillary sinus maxillary branch of trigeminal nerve, infraorbital nerve block anesthesia and infiltration anesthesia lip and gingival incision, the nasal meatus home tetracaine, adrenaline cotton surface anesthesia, and in the uncinate process, middle turbinate, nasal lidocaine near the surface of a small amount of anesthetic injection. children to use general anesthesia. 1.2.2 Surgical procedures for radical resection of the maxillary sinus by canine fossa to the center of the lip incision, about 1.5 cm, subperiosteal dissection exposed the canine fossa, with a