Mackay I S
Royal Brompton Hospital, London, United Kingdom.
Ann Acad Med Singap. 1991 Sep;20(5):690-5.
Many intranasal sinus surgical procedures can be undertaken using the endoscope which provides the surgeon with a clear and well illuminated field of vision, and the ability to inspect recesses with angled distal lenses. Functional Endoscopic Sinus Surgery (FESS) distinguishes the Messerklinger technique, which aims at restoring the natural mucociliary clearance mechanism, drainage and aeration of the sinuses by a minimally invasive anterior-to-posterior technique, from more conventional and radical posterior-to-anterior endoscopic sinus surgery. Hopkins improved the endoscope by replacing lenses with solid rods and fibreoptic illumination, and aided by improved techniques in computer assisted tomography, this has allowed more precise preoperative diagnosis. Meticulous postoperative management, may be the key to the success of endoscopic sinus surgery. Very encouraging results have been reported by many authors. With adequate training and cadaver dissection, endoscopic procedures should not be associated with a higher incidence of complications than ethmoidal surgery by other routes.
许多鼻内鼻窦外科手术都可以通过内窥镜进行，内窥镜能为外科医生提供清晰且照明良好的视野，并且可以使用带角度的远端镜头检查鼻窦隐窝。功能性内窥镜鼻窦手术（FESS）将梅塞尔克林格技术与更传统、更激进的后向前内窥镜鼻窦手术区分开来，前者旨在通过微创的从前向后技术恢复鼻窦的自然黏液纤毛清除机制、引流和通气功能。霍普金斯通过用实心杆和光纤照明取代镜片改进了内窥镜，并且在计算机辅助断层扫描技术改进的帮助下，这使得术前诊断更加精确。精心的术后管理可能是内窥镜鼻窦手术成功的关键。许多作者都报告了非常令人鼓舞的结果。经过充分的培训和尸体解剖，内窥镜手术的并发症发生率不应高于通过其他途径进行的筛窦手术。
