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鼻中隔成形术的并发症及处理

Complications and management of septoplasty.

作者信息

Ketcham Amy S, Han Joseph K

机构信息

Department of Otolaryngology and Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Drive, Suite 1100, Norfolk, VA 23507, USA.

出版信息

Otolaryngol Clin North Am. 2010 Aug;43(4):897-904. doi: 10.1016/j.otc.2010.04.013.

Abstract

Septoplasty is a common procedure in otolaryngology used to address nasal obstruction caused by a deviated nasal septum. It is often accompanied by inferior turbinate reduction. Complications that may arise from this procedure include excessive bleeding; cerebrospinal fluid rhinorrhea; extraocular muscle damage; wound infection; septal abscess; toxic shock syndrome; septal perforation; saddle nose deformity; nasal tip depression; and sensory changes, such as anosmia or dental anesthesia. Local and general anesthetics have been used to successfully perform septoplasty and the operation may be done either endoscopically or open. Overall, good intraoperative visualization is a key factor in preventing complications and achieving a functional nasal airway.

摘要

鼻中隔成形术是耳鼻喉科用于解决鼻中隔偏曲引起的鼻塞的常见手术。它通常伴有下鼻甲缩小。该手术可能出现的并发症包括出血过多;脑脊液鼻漏;眼外肌损伤;伤口感染;鼻中隔脓肿;中毒性休克综合征;鼻中隔穿孔;鞍鼻畸形;鼻尖凹陷;以及感觉改变,如嗅觉丧失或牙麻醉。局部和全身麻醉已成功用于进行鼻中隔成形术,手术可通过内镜或开放方式进行。总体而言,良好的术中视野是预防并发症和实现功能性鼻气道的关键因素。

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