额窦炎

METHODS Twenty three adult patients (36 sides) with chronic frontal sinusitis received endoscopic frontal sinus surgery in the route anterior to ethmoidal bulla.

选取23例（36侧）确诊为慢性额窦炎的成人病例。采用经鼻内镜筛泡前径路术式开放额窦。

Results There was no noticeable changes in nasality and total NAR for type Ⅰ patients at stage one, but further study showed that simple maxillary sinusitis had effects on nasality while frontal sinusitis and sphenoid sinusitis failed to.

结果 Ⅰ型1期患者术后1月鼻音和总鼻阻力与术前无明显变化；进一步研究发现，单侧上领窦炎对鼻音有一定影响，手术后1月及3月基本恢复正常；单侧额窦炎或蝶窦炎对鼻音无明显影响。

Methods The clinical data of 43 adult patients (59 sides)suffering from chronic sinusitis with frontal sinus involved were analyzed retrospectively. The frontal sinus ostium was identified by the help of artificial frontal drill (20 cases) or XPS frontal drill (23 cases), and the efficacy was evaluated via postoperative follow-up of all cases. Results The ostia of frontal sinus were successfully opened in all cases, and no serious complications occurred.

回顾分析2004年12月～2007年8月间的额窦炎43例，因术中额窦开口难辨而采用额钉辅助定位，其中使用手摇额钻20例，XPS额钻23例，总结手摇额钻与XPS额钻的优点和缺点、使用过程中常遇到的问题和风险，以及各自的使用方法和注意事项。

Court cures a variety of rhinitis, sinusitis, nasal polyps, allergic rhinitis, frontal sinusitis, atrophic rhinitis, hypertrophic rhinitis, rhinitis sicca, all kinds of headache, migraine, vascular headache nerve.

本院专治各种鼻炎、鼻窦炎，鼻息肉、过敏性鼻炎、额窦炎、萎缩性鼻炎、肥厚性鼻炎、干燥性鼻炎、各种头痛、偏头痛、血管神经性头痛。

This treatment with head mirror according to FESS is a better way then traditional way for single ethmoiditis combined nasal polys,but it is incredible for pansinusitis.

额镜下参照FESS模式进行慢性鼻窦炎鼻息肉手术对单纯筛窦炎鼻息肉患者有较好疗效，对多窦病变鼻息肉患者疗效欠佳，优于传统鼻窦手术。

Methods Axial lamellate computed tomography scans of frontal drainage system were firstly performed with four layers spiral CT, and coronal, sagittal sections then reconstructed with AW 4.1 software on 65 adults ,both frontal sinusitis group (35 cases, 66 sides) and control group (30 cases. 59 sides). Related cells in frontal drainage system were studied and compared dynamically.

采用4层螺旋CT对65例成人，30例正常成人及35例额窦炎患者的额窦引流通道行水平位薄层扫描后用Advantage Windows 4.1(AW4.1)影像工作站进行冠状位、矢状位重建，动态分析和比较两组额窦引流通道内出现的相关气房。

Methods Nasofrontal duct was extended and the bottom of frontal sinus was opened under nasal endoscope.

目的 观察筛窦切除术+额窦开放术与单纯筛窦切除术治疗慢性额窦炎的疗效方法在内窥镜下扩鼻额管，开放额窦底。

Results (1) Cells in frontal recess: The existence of terminal cells was 45.5% in frontal sinusitis group and 23.7% in, control; anterior ethmoid cell 31.8% and 15.3%; agger nasi cells 28.8% and 13.5%.(2) Cells in frontal sinus: for perifrontal cells there were 42.4% and 22%, respectively; superaorbital cells 33.3% and 25.4%; intersinus septal cells 27.3% and 20%.

①额隐窝内出现的相关气房（无额窦炎组出现率／额窦炎组出现率）：终末气房(23.7%/45.5%)，前筛气房(15.3%/31.8%)，鼻丘气房(13.5%/28.8%)；②额窦内出现的相关气房：额气房(22%/42.4%)，眶上气房(25.4%/33.3%)，额窦中隔气房(20%/27.3%)。

Results The penumatization rate of total or inferior part of middle turbinate correlated positively to the inflammation of anterior ethmoid and maxillary sinuses. Compared with patients with normal frontal sinuses, the vertical diameters of agger nasi cells of patients with frontal sinusitis were larger(11.70±5.50 mm and 8.54±3.67 mm respectivevy, p＜0.01).Compared with patients with normal maxillary sinuses, the Haller's cells of patients with maxillary sinusitis were larger (77.8% and 33.3%,P＜0.05)and the amount of inflammatory Haller's cells of the latter was more abundant than that of the former(91.6±17.8 mm2 and 41.6±12.6 mm2, respectively, P＜0.05). The deviation of uncinate process was one of the factors of maxillary sinusitis .The sizes of ethmoid bullae increased with the soft tissue thickening in anterior ethmoid sinus, the large ethmoid bulla may cause anterior ehmoid sinusitis.

结果 全中甲或中甲下部气化的发生率随前筛、上颌窦内软组织影增厚而升高；有额窦炎组病人的鼻丘气房最大纵向垂径明显大于无额窦炎组(分别为11.7±5.5 mm和8.5±3.7 mm，P＜0.01)；Haller气房在上颌窦炎组和非上颌窦炎组的发生率无显著差异，但前组发生炎症的Haller气房明显多于后组(分别为77.8%和33.3%，P＜0.05)，且前组Haller气房的冠状位截面积明显大于后组(分别为91.6±17.8 mm2和41.6±12.6 mm2，P＜0.05)；钩突角度随上颌窦内软组织增厚而减小；筛泡冠状位截面积随前筛窦内软组织增厚而增大(P＜0.01)。

Due to venous communication between frontal bone and dural venous sinuses, intracranial empyema may result without bone destruction.

未确诊或局部处理的额窦炎可以导致颅内外板破坏和骨膜下/颅内脓肿形成。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。