Vleming M, Middelweerd R J, de Vries N
Department of Otolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Arch Otolaryngol Head Neck Surg. 1992 Jun;118(6):617-23. doi: 10.1001/archotol.1992.01880060067015.
Endoscopic sinus surgery has become popular during recent years. We report the complications of endoscopic sinus surgery in 593 patients in whom 1235 sides were operated on. Forty-five patients had complications, in three of whom they were systemic. The remaining 42 patients had complications on 52 (4.2%) sides; these complications were mostly minor. In 0.3% of the sides operated on, potentially serious complications, such as orbital hematoma or cerebrospinal fluid leak, were seen. None of these patients developed loss of vision or meningitis. Absence of the middle turbinate is a risk factor for developing complications. We conclude that endoscopic sinus surgery is a safe procedure in experienced hands.
近年来，鼻内镜鼻窦手术已变得流行起来。我们报告了593例接受鼻内镜鼻窦手术患者的并发症情况，共对1235侧鼻窦进行了手术。45例患者出现并发症，其中3例为全身性并发症。其余42例患者在52侧（4.2%）出现并发症；这些并发症大多较轻微。在0.3%的手术侧中，出现了潜在的严重并发症，如眼眶血肿或脑脊液漏。这些患者均未出现视力丧失或脑膜炎。中鼻甲缺失是发生并发症的一个危险因素。我们得出结论，在经验丰富的医生手中，鼻内镜鼻窦手术是一种安全的手术。
