Virgin Frank W, Bleier Benjamin S, Woodworth Bradford A
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alabama at Birmingham, BDB 563, 1530 3rd Avenue South, Birmingham, AL 35294, USA.
Otolaryngol Clin North Am. 2010 Jun;43(3):653-72, xi. doi: 10.1016/j.otc.2010.02.018.
Functional endoscopic sinus surgery was initially introduced as a minimally invasive procedure to treat chronic rhinosinusitis (CRS) in patients for whom medical management failed. Sinus surgery has been deemed an extremely effective part of the overall management of chronic sinus disease with symptomatic improvement in the vast majority of patients. At the forefront, technologic advances have been critical in advancing endoscopic sinus surgical procedures. With the introduction of improved optics and lighting, advanced instrumentation, and image-guided surgical navigation, the limitations of endoscopic procedures have been significantly reduced. Endoscopic techniques have evolved to include the management of both malignant and benign neoplasms of the sinuses and anterior skull base. This article highlights some of the newest advances in technology, materials, and medical/surgical techniques used in endoscopic sinus and skull base procedures and illustrates how they advance overall patient care to help minimize morbidity and complications.
功能性内镜鼻窦手术最初作为一种微创手术被引入，用于治疗药物治疗无效的慢性鼻窦炎（CRS）患者。鼻窦手术被认为是慢性鼻窦疾病整体治疗中极其有效的一部分，绝大多数患者的症状都有改善。最重要的是，技术进步对推进内镜鼻窦手术程序至关重要。随着改进的光学和照明设备、先进的器械以及图像引导手术导航的引入，内镜手术的局限性已显著降低。内镜技术已经发展到包括鼻窦和前颅底恶性和良性肿瘤的治疗。本文重点介绍了内镜鼻窦和颅底手术中使用的一些最新技术、材料以及医学/手术技术的进展，并说明了它们如何推进整体患者护理，以帮助将发病率和并发症降至最低。
