Welch Kevin C, Palmer James N
Department of Otorhinolaryngology, Division of Rhinology, University of Pennsylvania Health System, 5 Ravdin, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Otolaryngol Clin North Am. 2008 Jun;41(3):581-96, ix-x. doi: 10.1016/j.otc.2008.01.005.
Among the several risks encountered in endoscopic sinus surgery, catastrophic orbital bleeding and iatrogenic cerebrospinal fluid leak are the two serious complications surgeons most fear. This article discusses these avoidable complications and provides treatment algorithms for intraoperative maneuvers. A thorough understanding of the anatomy of the paranasal sinuses and their relationships with the anterior skull base, appropriate preoperative planning, and meticulous surgical technique are essential for preventing intraoperative cerebrospinal fluid leaks. Intraoperative orbital hematoma is discussed and a stepwise approach to reduce complications is provided.
在内镜鼻窦手术中遇到的几种风险中，灾难性眼眶出血和医源性脑脊液漏是外科医生最惧怕的两种严重并发症。本文讨论了这些可避免的并发症，并提供了术中操作的治疗方案。全面了解鼻窦的解剖结构及其与前颅底的关系、进行适当的术前规划以及采用细致的手术技术对于预防术中脑脊液漏至关重要。本文还讨论了术中眼眶血肿，并提供了减少并发症的分步方法。
