泪前隐窝入路的解剖与手术学意义

doi:10.3760/cma.j.issn.2095-7041.2019.03.020

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摘要本文就泪前隐窝入路相关的应用解剖以及该入路的临床应用进行概述,重点介绍泪前隐窝、齿槽隐窝、鼻泪管、筛前动脉鼻外侧支、中鼻甲动脉、下鼻甲动脉、下鼻道动脉、翼腭窝及其内容物、颞下窝及其内容物以及蝶窦外侧隐窝等的临床应用解剖结构,并对泪前隐窝入路在真菌性上颌窦炎、上颌窦囊肿、眼眶眶底骨折、翼腭窝肿瘤、颞下窝肿瘤以及蝶窦外侧隐窝病变中的应用,以及相应解剖结构对手术的影响加以分析,为耳鼻咽喉头颈外科临床医师开展此类手术提供参考。

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	廖建春

关键词 ：鼻外科手术, 解剖学,局部, 泪前隐窝, 手术入路

Abstract：To summarize the applied anatomy related to the anterior lacrimal recess approach and the clinical application of the approach. The anterior lacrimal recess, alveolar crypt, nasolacrimal duct, anterior ethmoid artery, middle turbinate artery, inferior turbinate artery, interior meatus artery, the pterygopalatine fossa and its contents, the infratemporal fossa and its contents, and the lateral crypts of the sphenoid sinus of the clinical application anatomy were emphatically introduced. Meanwhile,the anterior lacrimal recess approach in the fungal maxillary sinusitis, the maxillary sinus cyst, orbital floor fracture, pterygopalatine fossa tumor, subgingival fossa tumor, and lateral sinus crypt lesion and the effect of corresponding anatomical structure on surgery were described. The study results can provide some references to otolaryngology head and neck surgeons.

Key words： Nasal surgical procedures Anatomy, regional Anterior lacrimal recess Surgical approach

收稿日期: 2018-09-26

作者简介: Email: abliaojc＠163.com

引用本文:

廖建春. 泪前隐窝入路的解剖与手术学意义[J]. 中华解剖与临床杂志, 2019, 24(3): 305-321.
Liao Jianchun. Anatomy and surgical significance of the anterior lacrimal fossa approach. Chinese Journal of Anatomy and Clinics, 2019, 24(3): 305-321.

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http://www.cjac.com.cn/CN/10.3760/cma.j.issn.2095-7041.2019.03.020 或 http://www.cjac.com.cn/CN/Y2019/V24/I3/305

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