上颌窦后鼻孔息肉单纯摘除,复发率较高。作者介绍了切除下鼻甲前端、鼻内上颌窦开窗,经窗口摘除窦内息肉的手术方法。儿童全麻,成人局麻,鼻腔粘膜用浸4%可卡因棉片表面麻醉。后鼻孔息肉用钳钳持住经口腔摘除。如息肉较小亦可用圈套器经鼻腔摘除。然后,切除下鼻甲前端,凿开上颌窦内侧壁,用Kerrison 咬骨钳扩大至可见窦腔内容物。探查窦腔并摘除息肉。鼻腔填塞少量凡士林纱条。次晨抽取后出院。术后不用抗生素。12例年龄8～56岁的患者经行此术,随访6个月至4年。无严重并发症,息肉亦无复发。此术较上颌窦根治术恢复期短,术后无颊部肿胀及感觉 Maxillofacial nosocomial simple removal of polyps, a higher recurrence rate. The author introduced the removal of the inferior turbinate anterior end, intranasal maxillary sinus fenestration, removal of the polyps sinus surgery method. General anesthesia in children, adults with local anesthesia, nasal mucosa immersed in 4% cocaine cotton surface anesthesia. After the nostril polyp clamp forceps hold the oral removal. Such as polyps smaller also available snare nasal removal. Then, the inferior turbinate was resected, the maxillary sinus medial wall was dissected and the contents of the visible sinus cavity were expanded with Kerrison rongeur. Explore the sinus and remove the polyp. Nasal packing a small amount of Vaseline gauze. The next morning after discharge was discharged. No antibiotics after surgery. Twelve patients aged 8 to 56 years old underwent this operation and were followed up for 6 months to 4 years. No serious complications, no recurrence of polyps. This surgery than the maxillary sinus radical recovery period is short, no postoperative cheek swelling and feeling