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一日手术中的球囊鼻窦成形术。

Balloon sinuplasty in one-day surgery.

作者信息

Fijałkowska-Ratajczak Tatiana, Kopeć Jakub, Leszczyńska Małgorzata, Borucki Łukasz

机构信息

Department of Otorhinolaryngology, Franciszek Raszeja City Hospital, Poznan, Poland.

Department of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2021 Jun;16(2):423-428. doi: 10.5114/wiitm.2021.103962. Epub 2021 Feb 26.

Abstract

INTRODUCTION

Balloon sinus dilation is becoming an increasingly common procedure, finding a niche as an invaluable tool in endoscopic sinus surgery.

AIM

To assess the effectiveness of balloon sinus dilation (BSD) in 1-day surgery in patients with chronic rhinosinusitis without polyps based on our own experience.

MATERIAL AND METHODS

The study group consisted of 9 patients. The Lund-Mackay scale for computed tomography of the paranasal sinuses was assessed prior to surgery. Endoscopy was performed on the basis of the Lund-Kennedy scale and patients were asked to perform the SNOT-22 survey. Two patients underwent balloon sinuplasty under general and seven under local anaesthesia.

RESULTS

Twelve maxillary and eight frontal sinuses were widened (four attempts were unsuccessful). The SNOT-22 survey was assessed the day after surgery (average of 8 points) and a month after surgery (average of 15.5 points).

CONCLUSIONS

BSD only allows widening of the ostia of the maxillary, frontal and sphenoid sinuses. BSD offers shorter post-surgical recovery, and a more rapid return to work because of its less invasive and less traumatic nature.

摘要

引言

球囊鼻窦扩张术正成为一种越来越常见的手术,作为内窥镜鼻窦手术中一种宝贵的工具找到了自己的定位。

目的

根据我们自己的经验,评估球囊鼻窦扩张术(BSD)在无息肉慢性鼻窦炎患者一日手术中的有效性。

材料与方法

研究组由9名患者组成。术前评估鼻窦计算机断层扫描的Lund-Mackay量表。根据Lund-Kennedy量表进行内窥镜检查,并要求患者进行SNOT-22问卷调查。2例患者在全身麻醉下接受球囊鼻窦成形术,7例在局部麻醉下接受手术。

结果

12个上颌窦和8个额窦被扩大(4次尝试未成功)。术后第一天(平均8分)和术后一个月(平均15.5分)评估SNOT-22问卷调查。

结论

BSD仅能扩大上颌窦、额窦和蝶窦的开口。由于其侵入性较小和创伤较小,BSD术后恢复时间较短,且能更快恢复工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/452a/8193750/981a4c1af086/WIITM-16-43379-g001.jpg

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