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额窦手术并发症的预防与处理

Prevention and management of complications in frontal sinus surgery.

作者信息

Javer Amin R, Alandejani Talal

机构信息

St Paul's Sinus Centre, St Paul's Hospital, University of British Columbia, 1081 Burrard Street, Vancouver, BC V6Z1Y6, Canada.

出版信息

Otolaryngol Clin North Am. 2010 Aug;43(4):827-38. doi: 10.1016/j.otc.2010.04.021.

Abstract

Frontal sinus surgery continues to remain one of the most challenging areas for sinus surgeons. Many different techniques have been introduced for dealing with the frontal sinus. These can range from conservative, mucus membrane-preserving, strictly endoscopic techniques to radical endoscopic and open procedures using drills and burrs to create large openings, all with the aim of keeping the frontal sinus aerated, disease free, and functional in the long-term. This article deals not only with ways in which surgical techniques can be used to minimize or prevent complications in this difficult area but also on how to deal with complications when they occur.

摘要

额窦手术仍然是鼻窦外科医生面临的最具挑战性的领域之一。已经引入了许多不同的技术来处理额窦。这些技术范围广泛,从保守的、保留黏膜的、严格的内镜技术到使用钻头和磨头创建大开口的根治性内镜和开放手术,所有这些技术的目的都是长期保持额窦通气、无疾病且功能正常。本文不仅探讨了如何使用手术技术来最小化或预防这一困难领域的并发症,还讨论了并发症发生时如何处理。

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