鼻竇內視鏡手術治療鼻部倒生性乳頭狀瘤－初步報告

Endoscopic Sinus Surgery in the Treatment of Nasal Inverted Papilloma - A Preliminary Report

李達人(Ta-Jen Lee) ； 蘇仁亮(Jen-Liang Su) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 30卷3期 (1995/06) Pp. 230-235

https://doi.org/10.6286/1995.30.3.230

摘要

鼻部倒生性乳頭狀瘤因手術後極易復發，故傳統的手術治療方法多偏好較積極的療法，尤以「上頜竇內側切除或合併側鼻切開」最為常見。而自1991年以來，針對一些侷限性病灶的病例，鼻竇內視鏡手術已逐漸被證實具有極佳的療效；甚至，經由鼻竇內視鏡切除某些侵犯範圍較大的病灶，其可行性在文獻上亦多所記載。本文乃提出長庚紀念醫院近四年來的6個病例，在以鼻竇內視鏡手術完全切除腫瘤後，經過平均23個月的術後追蹤，均無復發跡象，以此佐證鼻竇內視鏡手術為治療鼻部倒生性乳頭狀瘤的適當選擇性療法，並作一初步報告。

關鍵字

鼻部倒生性乳頭狀瘤 ； 上頜竇內側切除或合併側鼻切開 ； 侷限性病灶

並列摘要

Although most papers discussing surgical treatment of nasal inverted papilloma recommend aggressive surgical treatment (such as medial maxillectomy via lateral rhinotomy), selected cases of this tumor have been reported to be successfully treated by endoscopic sinus surgery. In this report, we treated six cases of localized nasal inverted papilloma by endoscopic sinus surgery during the four years after 1991. The six patients were aged from 25 to 77 years, and five of them were male. Total removal of the tumors was attained under endoscopic approach. A period of 12 to 43-month postoperative follow-up has revealed no evidence of recurrences to date. This preliminary report gives further evidence that endoscopic sinus surgery is a feasible surgical option in selected cases.

並列關鍵字

Nasal inverted papilloma ； medial maxillectomy with or without lateral rhinotomy ； limited lesions