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Chirurgische Anatomie der Kieferhöhle

Surgical anatomy of the maxillary sinus

  • Leitthema
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Zusammenfassung

Hintergrund

Fortschritte in der endoskopischen endonasalen Mikrochirurgie der Nasennebenhöhlen fußen schwergewichtig auf einem stetig steigenden Wissensstand im Bereich der örtlichen Mikroanatomie mit ihren individuellen Varianten.

Material und Methode

Es wird ein Überblick gegeben über wissenschaftliche Mitteilungen der Literatur zur Mikroanatomie der Kieferhöhle aus Sicht der endoskopischen endonasalen Chirurgie.

Ergebnisse

Dargestellt wird die Variationsbreite der individuellen Mikroanatomie aller Kieferhöhlen-Abschnitte insbesondere zur Minimierung des sekundären chirurgischen Gewebetraumas, zur Vermeidung von Komplikationen (z. B. Verletzung orbitaler Strukturen) und als Grundlage des prälakrimalen Kieferhöhlenzuganges.

Schlussfolgerung

Die intensivierte Beachtung der Mikroanatomie der Nasennebenhöhlen mit ihren Varianten verringert die Belastung für den Patienten bei einer optimierten Effektivität der nötigen chirurgischen Manipulationen.

Abstract

Background

Improved understanding of the microanatomy of the paranasal sinuses, including its individual variations, makes a substantial contribution to current progress in endonasal endoscopic microsurgery. Microanatomy of the sinuses is an active field of present scientific investitations.

Materials and methods

A comprehensive review on microanatomy of the maxillary sinus is presented from the perspective of contemporary endonasal endoscopic microsurgery.

Results

The range of variation of the individual microanatomy of all sections of the maxillary sinus is presented, in particular to minimize secondary sugical tissue trauma, to avoid complications (e.g. on orbital tissues) and as a basis for the prelacrimal access to the maxillary sinus.

Conclusion

Improved understanding of the range of microanatomical variations reduced the burden on the patient while opimizing the effectiveness of the necessary surgical manipulations.

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Authors and Affiliations

  1. Klinik für Hals-Nasen-Ohrenkrankheiten, Kopf- und Hals-Chirurgie, Universitätsmedizin Greifswald, Sauerbruchstraße, 17475, Greifswald, Deutschland

    W. Hosemann

  2. Klinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Semmelweis Universität, Budapest, Ungarn

    A. Grimm

  3. Anatomisches, Histologisches und Embryologisches Institut, Semmelweis Universität, Budapest, Ungarn

    A. Grimm

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  1. W. Hosemann
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  2. A. Grimm
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Correspondence to W. Hosemann.

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W. Hosemann und A. Grimm geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Hosemann, W., Grimm, A. Chirurgische Anatomie der Kieferhöhle. HNO 68, 555–565 (2020). https://doi.org/10.1007/s00106-020-00868-3

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  • DOI: https://doi.org/10.1007/s00106-020-00868-3

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