Résumé
Metastatic tumors to the nasal cavity and paranasal sinuses are far less common than primary cancer in this location. The digestive system malignant tumor metastasis to the nose is rarer. The clinical presentation of metastases is similar to that of primary tumors and common symptoms include recurrent epistaxis, nasal obstruction and facial pain. Metastases to the nose and paranasal sinuses usually respond poorly to treatment and have a poor prognosis.
Sujets)
Humains , Carcinomes , Anatomopathologie , Système digestif , Fosse nasale , Anatomopathologie , Obstruction nasale , Tumeurs du nez , Tumeurs des sinus de la face , Sinus de la face , Anatomopathologie , Tumeurs de l'estomac , AnatomopathologieRésumé
OBJECTIVE@#To investigate the efficacy of revision endoscopic sinus surgery and combined therapy on recurrent sinusitis and polyps.@*METHOD@#Revision endoscopic sinus surgery was performed in 72 patients, of which endoscopic nasal lateral wall dissection was used in 3 cases, the endoscopic frontal sinus surgery (Draf I-II) was used in 16 cases, and all patients received combined therapy including peri-operation conservative management and nasal endoscopy examination during the follow-up period.@*RESULT@#All patients were followed up for more than one year. Of 72 patients, 52 patients were successfully cured, 10 patients showed improvement, but there was no change in other 13 patients. The total efficacy rate was 91.67% (66/72). No serious complication occurred.@*CONCLUSION@#The treatment efficacy can be greatly improved by enough preoperative preparation, fine operation, combined pre-operation conservative therapy and postoperative follow-up.