METHODS: A retrospective study was conducted on patients surgically treated for SM at the Departments of Otorhinolaryngology of Varese and Pavia, between 1994 and 2022.
RESULTS: 398 patients were reported. An endoscopic endonasal marsupialization of SM was performed in 92,5% of cases. 7% of patients underwent a combined approach while 0,5% required an exclusive open surgery. The average follow-up after surgery was 10-60 months. SM overall recurrence was observed in 11,4% of cases.
CONCLUSIONS: Endonasal endoscopic SM marsupialization is a feasible technique which allows the preservation of the anatomy and physiology avoiding the surgical invasiveness of the external approaches. The well-established surgical expertise in the endonasal endoscopy together with technological improvements widened the indication range of the exclusive endoscopic technique over the traditional open surgery.
方法:对在Varese和Pavia的耳鼻咽喉科接受SM手术治疗的患者进行了回顾性研究,1994年至2022年。
结果:报告398例患者。在92,5%的病例中进行了SM的内镜鼻内有袋化。7%的患者接受了联合治疗,而0,5%的患者需要进行独家开放手术。术后平均随访10~60个月。在11,4%的病例中观察到SM总体复发。
结论:鼻内镜下SM有袋化是一种可行的技术,可以保留解剖学和生理学,避免了外部方法的手术侵入性。在鼻内窥镜检查中建立完善的外科专业知识以及技术改进,与传统的开放手术相比,扩大了专有内窥镜技术的适应症范围。