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Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases

Even being equipped with advanced surgical navigation systems, thorough analysis of patient's imaging diagnosis before procedures is still of great necessity for the operators. This study aimed to explore the morphological changes of sphenoid sinus lesions as observed on computed tomography (CT...

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Autores principales: Chu, Shidong, Ci, Jun, Wang, Cangyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571876/
https://www.ncbi.nlm.nih.gov/pubmed/33080763
http://dx.doi.org/10.1097/MD.0000000000022835
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author Chu, Shidong
Ci, Jun
Wang, Cangyang
author_facet Chu, Shidong
Ci, Jun
Wang, Cangyang
author_sort Chu, Shidong
collection PubMed
description Even being equipped with advanced surgical navigation systems, thorough analysis of patient's imaging diagnosis before procedures is still of great necessity for the operators. This study aimed to explore the morphological changes of sphenoid sinus lesions as observed on computed tomography (CT), and further carry out the fenestration of sphenoid sinus under guidance of the CT. A retrospective analysis of the characteristics of CT images was performed. The outcomes of three kinds of nasal endoscopic surgeries on benign lesions of sphenoid sinuses were investigated. For the 128 patients included, nasal-cavity-olfactory cleft pathway was performed in 64 patients, the Messerklinger pathway was adopted in 54 patients, while Wigand pathway was performed in the rest 10 patients. After follow-up visit, the drainage at the fenestration site of sphenoid sinus was found to be smooth, the symptoms were completely controlled, and no severe complication was reported during or after the surgery. No significant difference was observed in the curative effects among the 3 groups. CT of the paranasal sinus can guide the procedures of sphenoid sinus fenestration. No statistically significant differences were exhibited in terms of the amount of bleeding, surgical time and days of hospitalization among the 3 groups.
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spelling pubmed-75718762020-10-29 Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases Chu, Shidong Ci, Jun Wang, Cangyang Medicine (Baltimore) 7100 Even being equipped with advanced surgical navigation systems, thorough analysis of patient's imaging diagnosis before procedures is still of great necessity for the operators. This study aimed to explore the morphological changes of sphenoid sinus lesions as observed on computed tomography (CT), and further carry out the fenestration of sphenoid sinus under guidance of the CT. A retrospective analysis of the characteristics of CT images was performed. The outcomes of three kinds of nasal endoscopic surgeries on benign lesions of sphenoid sinuses were investigated. For the 128 patients included, nasal-cavity-olfactory cleft pathway was performed in 64 patients, the Messerklinger pathway was adopted in 54 patients, while Wigand pathway was performed in the rest 10 patients. After follow-up visit, the drainage at the fenestration site of sphenoid sinus was found to be smooth, the symptoms were completely controlled, and no severe complication was reported during or after the surgery. No significant difference was observed in the curative effects among the 3 groups. CT of the paranasal sinus can guide the procedures of sphenoid sinus fenestration. No statistically significant differences were exhibited in terms of the amount of bleeding, surgical time and days of hospitalization among the 3 groups. Lippincott Williams & Wilkins 2020-10-16 /pmc/articles/PMC7571876/ /pubmed/33080763 http://dx.doi.org/10.1097/MD.0000000000022835 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 7100
Chu, Shidong
Ci, Jun
Wang, Cangyang
Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title_full Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title_fullStr Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title_full_unstemmed Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title_short Paranasal sinus CT and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: Retrospective analysis of 128 cases
title_sort paranasal sinus ct and 3 kinds of nasal endoscopic sphenoid sinus surgical approaches: retrospective analysis of 128 cases
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7571876/
https://www.ncbi.nlm.nih.gov/pubmed/33080763
http://dx.doi.org/10.1097/MD.0000000000022835
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