内镜经鼻颅底手术患者的鼻窦全面管理。
Comprehensive management of the paranasal sinuses in patients undergoing endoscopic endonasal skull base surgery.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
出版信息
World Neurosurg. 2014 Dec;82(6 Suppl):S54-8. doi: 10.1016/j.wneu.2014.07.027.
OBJECTIVE
The endonasal route often provides the most direct and safe approach to skull base pathology. In this article we review the literature with regard to management of the paranasal sinuses in the setting of skull base surgery.
METHODS
We describe our institutional experience and review the literature of concurrent management of the sinusitis in patients undergoing endoscopic skull base surgery.
RESULTS
Patients should be optimized preoperatively to ensure the endonasal route is a safe corridor to enter the intracranial cavity. Often the paranasal sinuses can be surgically addressed at the same time as endoscopic skull base surgery. We describe the technical details of management of the paranasal sinuses when addressing skull base pathology.
CONCLUSIONS
Careful management of the paranasal sinuses throughout the peri-operative course is paramount to optimizing sinonasal function and safety.
目的
经鼻入路通常为颅底病变提供最直接和安全的方法。本文我们就颅底手术中鼻窦的处理问题进行文献复习。
方法
我们描述了机构经验，并回顾了同期内镜颅底手术患者鼻窦炎处理的文献。
结果
患者应在术前进行优化，以确保经鼻入路是进入颅内的安全通道。通常，鼻窦可以在进行内镜颅底手术的同时进行手术处理。我们描述了在处理颅底病变时管理鼻窦的技术细节。
结论
在整个围手术期仔细管理鼻窦对于优化鼻-鼻窦功能和安全性至关重要。
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