Karpishchenko S A, Vereshchagina O E, Bolozneva E V, Bibik P R
Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia, 197022.
Vestn Otorinolaringol. 2020;85(1):54-59. doi: 10.17116/otorino20208501154.
The main idea of our manuscript is prevention of frontal recess stenosis after endoscopic endonasal frontal sinus surgery and septoplasty during to acute and chronic frontal sinuses pathology.
To offer an effective method to prevent postoperative frontal recess stenosis after endoscopic endonasal frontal sinus surgery and surgical correction of intra-nasal structures.
In our manuscript we analyzed 274 cases of endoscopic endonasal frontal sinus surgery: postoperative treatment (local and systemic). All of them were operated by endoscopic endonasal approach both initially and repeatedly for acute and chronic frontal sinusities in the ENT department Pavlov First state medical university of Saint Petersburg from 2013 to 2019.
In 10 cases, patients with previous endoscopic endonasal frontal sinus surgery underwent revision endoscopic procedure due to frontal recess obstruction, in 4 cases - due to a recurrence of the polypous process involving the frontal sinus, in 6 cases - without visible provoking factors contributing to restenosis of the frontal recess. First step in all cases was a correction of the nasal septum. It is necessary to assess the factors that contribute to restenosis of the frontal recess. Careful endoscopic care of the nasal cavity and the frontal recess in the postoperative period can reduce the risk of restenosis of the latter. Local antibacterial nasal therapy is recommended for the prevention of purulent processes in the nasal cavity in the early postoperative period.
我们手稿的主要观点是在内镜下经鼻额窦手术和鼻中隔成形术治疗急慢性额窦病变期间预防额隐窝狭窄。
提供一种有效的方法来预防内镜下经鼻额窦手术后及鼻内结构手术矫正后的术后额隐窝狭窄。
在我们的手稿中，我们分析了274例内镜下经鼻额窦手术病例：术后治疗（局部和全身）。2013年至2019年，所有患者均在圣彼得堡巴甫洛夫第一国立医科大学耳鼻喉科接受了内镜下经鼻入路的初次和重复手术，治疗急慢性额窦炎。
10例曾接受内镜下经鼻额窦手术的患者因额隐窝阻塞接受了翻修内镜手术，4例因累及额窦的息肉样病变复发接受手术，6例无明显导致额隐窝再狭窄的诱发因素。所有病例的第一步都是鼻中隔矫正。有必要评估导致额隐窝再狭窄的因素。术后仔细的鼻腔和额隐窝内镜护理可降低后者再狭窄的风险。建议在术后早期进行局部抗菌鼻腔治疗，以预防鼻腔脓性病变。
