- 期刊
鼻腔與副鼻竇的手術解剖構造
Surgical Anatomy of the Nose and Paranasal Sinuses
摘要
鼻部位於人體顏面的正中央，可分為外鼻部、鼻腔和副鼻竇。鼻腔和副鼻竇掌管數種人體重要生理機能，也是許多疾病容易發生的地方，因此正確理解這些部位的手術解剖學對於鼻部疾病的治療非常重要。鼻腔被鼻中隔分為左右各一，鼻腔的外側壁構造較為複雜，有數個鼻甲隆起，其外下側有相對應的通道，稱為鼻道，而中鼻道更是許多鼻及鼻竇疾病發生的關鍵地方。副鼻竇則是圍繞在鼻腔旁左右成對之空腔，分別有上頷竇、前篩竇、後篩竇、額竇及蝶竇，因為這些鼻竇的氣室構造十分複雜，因此，確實且熟稔理解副鼻竇的手術解剖學，不僅關係著鼻竇疾病手術治療的成效，更是預防鼻竇手術發生併發症的重要關鍵。
並列摘要
The nose, located in the center of the human face, can be anatomically divided into the external nose, nasal cavity, and paranasal sinuses. The nasal cavity and paranasal sinuses perform several important physiological functions and are known to be affected by several diseases. Therefore, thorough understanding of the surgical anatomy of these structures is important for optimal treatment of nasal disorders. The nasal cavity is divided into the left and right halves by the nasal septum. The lateral wall of each nasal cavity is a complex structure with curved shelves of bone referred to as turbinates (inferior, middle, and superior) that project into the nasal cavity to create corresponding air passageways (the superior, middle, and inferior meatus) on the outer and lower aspects of each turbinate. The middle meatus plays a key role in the pathogenesis of many sinonasal diseases. The paranasal sinuses are bilateral pairs of air cells surrounding the nasal cavity and include the maxillary, anterior ethmoid, posterior ethmoid, frontal, and sphenoid sinuses. The paranasal sinuses show a highly complicated structure of air cells; therefore, comprehensive understanding of the surgical anatomy of paranasal sinuses determines the outcomes of surgical management of sinus diseases and is also a critical factor that requires attention to prevent complications following sinus surgeries.