[Clinical analysis and surgical discussion of juvenile ossifying fibroma in nasal root].

• DOI: 10.13201/j.issn.2096-7993.2021.08.001
• Publication Date: 2021-08-01
• Authors: Cheng Kang; Xiao Yu; Jiyun Wang; Meng Lian
• Keywords: Fibroma; Sinus (botany)

Objective:To analyze the clinical features of juvenile ossifying fibroma in nasal root and to compare different surgical methods. Methods:Seven cases occurring were treated via surgery, 5 resected under endoscopy guided by Image Guidance System-based electromagnetic navigation, 2 lateral butterfly incision. Postoperative follow-up included CT scan sinuses. Results:The pathological results 7 patients consistent with fibroma. Follow-up period ranged from 6 45 months, there no recurrence or complications. Conclusion:Surgery is only effective treatment. Endoscopic sinus surgery image navigation incision resection has been deemed available. The external less bleeding shorter operation time, but mild face swelling after a method damage.目的：分析发生于鼻根部的青少年型骨化纤维瘤的临床特点，并比较不同的手术方法。 方法：对7例发生于鼻根部的青少年型骨化纤维瘤患者给予手术治疗，5例患者在神经导航引导下经鼻内镜行鼻根肿物切除，另2例患者行鼻小柱-鼻翼“蝶形”切口鼻根部肿物切除。术后定期随访，包括内镜检查和鼻窦CT扫描。 结果：7例患者病理回报符合骨化纤维瘤。随访6~45个月，无复发和明显的手术并发症。 结论：手术是唯一有效的治疗手段，神经导航引导下鼻内镜肿瘤切除和鼻小柱-鼻翼“蝶形”切口肿瘤切除都是有效可行的手术方案，外鼻蝶形切口手术出血少、时间短，但术后鼻面部会出现轻度肿胀，鼻内镜损伤相对更小。.