Il'ichev A Iu
Voen Med Zh. 2004 May;325(5):16-21, 80.
Among the servicemen the diseases of nose and accessory nasal sinus (ANS) are the predominant pathology of LOR-organs. The external causes of this pathology are the frequent viral affection of respiratory tracts, smoking, the effect of unfavorable factors of ecology and military work. The local causes are conditioned by congenital or acquired anatomical changes in the nose and ANS structures. The most frequent predisposing cause is the nasal septum curvature that influences on the nasal breathing. The surgical treatment of nose and ANS combined pathology can be conducted simultaneously or at several stages. The simultaneous operations have both positive and negative factors. The qualitative analysis based on the results of treatment of 230 servicemen with combined pathology of nose and ANS structures (divided into 5 most common combinations) permitted to propose the algorithm of surgical interventions, the adequate anesthesiology and postoperative treatment complex. All these would minimize the negative consequences of simultaneous operation on the nose and ANS structures. Some peculiarities of military service and requirements to servicemen' health make the simultaneous method of surgical treatment of nose and ANS pathology preferable.
在军人中，鼻及鼻窦疾病是耳鼻喉器官的主要病变。这种病变的外部原因是呼吸道频繁的病毒感染、吸烟、生态和军事工作中不利因素的影响。局部原因是鼻及鼻窦结构的先天性或后天性解剖变化。最常见的诱发原因是鼻中隔弯曲，它会影响鼻呼吸。鼻及鼻窦合并病变的外科治疗可以同时进行或分几个阶段进行。同时手术有积极和消极因素。基于对230名鼻及鼻窦结构合并病变军人（分为5种最常见组合）的治疗结果进行的定性分析，提出了手术干预、适当麻醉和术后综合治疗的算法。所有这些都将最大限度地减少对鼻及鼻窦结构同时手术的负面后果。军事服役的一些特殊性以及对军人健康的要求使得鼻及鼻窦病变的同时手术治疗方法更可取。
