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目的:介绍面中部翻揭进路鼻腔、鼻窦、鼻咽都手术方法、注意事项及要用价值。方法:将面中部包括鼻背软组织向上翻揭达眶下缘、鼻根都,广泛暴露双侧上颌骨、黎状孔、鼻腔,进行适当的骨切除后可达翼腭窝、鼻咽部、蝶窦、斜坡,直视下行上述部位手术。结果:11例均完整切除,视野显露充分,出血量100～300ml,随访2年以上均无复发。结论:面中部翻揭路创伤小,安全,不留手术疤痕,能广泛显露面中部结构甚至鼻咽、前中颅底、斜坡,可在直视下彻底切除良恶性病变。
OBJECTIVE: To introduce the surgical methods of nasal cavity, nasal sinus and nasopharynx in the middle part of the face, the precautions and value to be used. Methods: The middle part of the face including the nasal soft tissue upside down up to the infraorbital rim, nasal root are widely exposed bilateral maxillary, Li hole, nasal cavity, after appropriate bone resection up to the pterygopalatine fossa, nasopharynx, Sphenoid sinus, slope, straight down the above site surgery. Results: All the 11 cases were completely resected, the visual field was fully exposed, the amount of bleeding was 100 ~ 300ml. No recurrence was observed after 2 years of follow-up. Conclusion: The middle part of the dermatome tunnel trauma, safe, without surgical scars, can be widely revealed surface of the central structure and even the nasopharynx, the former skull base, slope, complete removal of benign and malignant lesions under direct vision.