Weitzel Erik Kent, Floreani Steve, Wormald Peter-John
Department of Surgery - Otolaryngology Head and Neck Surgery, University of Adelaide, Adelaide, South Australia, Australia.
ANZ J Surg. 2008 Dec;78(12):1096-9. doi: 10.1111/j.1445-2197.2008.04757.x.
Rhinological heuristics are adapted from common principles within the field of otolaryngology. The most important principle in achieving quality endoscopic sinus surgery is good haemostatic control of the surgical field. Once this is achieved, the surgeon can then begin advancing to other heuristic principles. Thinking one to two moves in advance allows the surgeon to take advantage of the many dually purposed instruments available. Learning to visualize buried structures by their subtle projections quickly follows. Finally, an ergonomically positioned surgeon with intricate anatomical knowledge of the sinonasal cavities permits a second surgeon to assist and greatly expand the limit of what is possible.
鼻科学启发法源自耳鼻喉科领域的通用原则。实现高质量鼻内镜鼻窦手术的最重要原则是对手术区域进行良好的止血控制。一旦实现这一点，外科医生便可进而遵循其他启发法原则。提前思考一到两步能让外科医生利用许多具有双重用途的器械。紧接着要学会通过细微投影来可视化深埋结构。最后，一名体位符合人体工程学且对鼻窦腔解剖结构有深入了解的外科医生，能够让第二名外科医生协助手术，并极大地拓展手术的可能性边界。
