Department of Otolaryngology, University of Western Ontario, London, Ontario.
Allergy Asthma Clin Immunol. 2005 Mar 15;1(1):21-7. doi: 10.1186/1710-1492-1-1-21.
The surgical management of chronic rhinosinusitis has evolved considerably in the last decade. We currently have a more refined understanding of the various disease entities that make up the generic diagnosis of chronic rhinosinusitis. This has led to the development of more sophisticated medical and surgical therapy for the different entities. Failure of maximal medical therapy leads to the consideration of surgical intervention with the general intent of improving the patient's quality of life. Recent technical innovations such as mucosa-preserving instrumentation and image guidance systems for intraoperative localization have given surgeons increased confidence and enabled more complete and effective surgical management of chronic rhinosinusitis, particularly in revision surgeries or in the presence of distorted landmarks. Improved packing materials and refinement of postoperative care are active areas of investigation and innovation that, it is hoped, will also translate into improved patient care.
在过去的十年中，慢性鼻-鼻窦炎的外科治疗已经有了很大的发展。我们目前对构成慢性鼻-鼻窦炎这一通用诊断的各种疾病实体有了更精细的理解。这导致了针对不同实体的更复杂的药物和手术治疗方法的发展。最大程度的药物治疗失败会导致考虑手术干预，其一般目的是提高患者的生活质量。最近的技术创新，如保留黏膜的器械和术中定位的图像引导系统，使外科医生更有信心，并能够更完整、有效地治疗慢性鼻-鼻窦炎，特别是在翻修手术或标志扭曲的情况下。改进的填塞材料和术后护理的精细化是正在积极研究和创新的领域，希望这也能转化为更好的患者护理。
