同期功能性鼻内镜鼻窦手术与鼻整形术：优点

Concurrent functional endoscopic sinus surgery and rhinoplasty: pros.

作者信息

McGraw-Wall Becky, MacGregor Allison R

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Texas, Houston Medical School, 6431 Fannin Street, Suite 6.112, Houston, TX 77030, USA.

出版信息

Facial Plast Surg Clin North Am. 2004 Nov;12(4):425-9, vi. doi: 10.1016/j.fsc.2004.04.007.

DOI:10.1016/j.fsc.2004.04.007

PMID:15337110

Abstract

Despite historical concerns about the spread of infection from the sinuses to the nasal tissues,concurrent septorhinoplasty and endoscopic sinus surgery may be performed safely in most patients who meet the criteria for sinus surgery. However, otolaryngologists should use good medical judgment in selecting patients appropriate for the combined procedures.Patients with extensive sinus pathology or systemic illness are not the ideal candidates for concurrent surgery. It is recommended to perform the septal and sinus surgery first, so that the surgeon may postpone the elective rhinoplasty procedure if unfavorable intraoperative circumstances develop. Overall, when performed in carefully selected patients, contemporaneous rhinoplasty and endoscopic sinus surgery is safe and effective and offers many advantages for the patient.

摘要

尽管过去曾担心鼻窦感染会扩散至鼻腔组织，但对于大多数符合鼻窦手术标准的患者而言，同期进行鼻中隔成形术和鼻内镜鼻窦手术是安全可行的。然而，耳鼻喉科医生在选择适合联合手术的患者时应具备良好的医学判断力。鼻窦病变广泛或患有全身性疾病的患者并非同期手术的理想人选。建议先进行鼻中隔和鼻窦手术，这样如果术中出现不利情况，外科医生可以推迟择期隆鼻手术。总体而言，在精心挑选的患者中进行同期隆鼻和鼻内镜鼻窦手术是安全有效的，对患者有诸多益处。