Solares C Arturo, Ong Yew Kwang, Carrau Ricardo L, Fernandez-Miranda Juan, Prevedello Daniel M, Snyderman Carl H, Kassam Amin B
Department of Otolaryngology, Medical College of Georgia, Augusta, GA 30907, USA.
Otolaryngol Clin North Am. 2010 Aug;43(4):817-25. doi: 10.1016/j.otc.2010.04.008.
In the past 2 decades, endoscopic sinus surgery has been widely used as a safe and effective treatment for disorders of the paranasal sinuses that are refractory to medical therapy. Advances in surgical technique, including powered instrumentation and stereotactic image-guided surgery, have improved the efficiency and safety of this procedure. These techniques have been further expanded to manage skull base pathologies. This expansion has been facilitated by a better understanding of the endonasal skull base anatomy. Despite these advances, complications are still encountered. Vascular injuries are particularly troublesome. Interior ethmoid artery injuries during sinus surgery that led to orbital hematoma were discussed extensively in a recent issue of this journal. Therefore, this article focuses mainly on inadvertent carotid artery injuries during routine sinus surgery and vascular injuries during endoscopic skull base surgery.
在过去20年中，鼻内镜鼻窦手术已被广泛用作治疗药物治疗无效的鼻窦疾病的一种安全有效的方法。手术技术的进步，包括动力器械和立体定向影像引导手术，提高了该手术的效率和安全性。这些技术已进一步扩展至处理颅底病变。对鼻内颅底解剖结构的更好理解推动了这种扩展。尽管有这些进展，但仍会出现并发症。血管损伤尤其棘手。本刊最近一期广泛讨论了鼻窦手术中导致眶内血肿的筛前动脉损伤。因此，本文主要关注常规鼻窦手术中意外的颈动脉损伤以及鼻内镜颅底手术中的血管损伤。
