Heermann J
HNO. 1982 May;30(5):180-5.
Endonasal ethmoid surgery necessitates similar preconditions as stapes surgery (dry operative field, operation microscope with parallel illumination, antibiotics, operative training on a cadaver). Today, by applying flunitrazepam (thorazine, nitroprussid) the patient can be operated on in amnesia with local anaesthesia and a blood pressure between 70-90 mm Hg. Comparing the historic development in ear and nose surgery we expect a similar spreading of endonasal sinus microsurgery as could be seen in stapes surgery. In more than 3,000 cases we have noticed no complication, apart from a passing blindness lasting less than 40 minutes.
鼻内筛窦手术所需的前提条件与镫骨手术类似（术野干燥、带平行照明的手术显微镜、抗生素、尸体解剖训练）。如今，通过使用氟硝西泮（氯丙嗪、硝普钠），患者可在局部麻醉且血压在70 - 90毫米汞柱的情况下处于遗忘状态下接受手术。对比耳鼻喉科手术的历史发展，我们预计鼻内鼻窦显微手术会有类似镫骨手术那样广泛的应用。在超过3000例手术中，除了持续不到40分钟的一过性失明外，我们未发现其他并发症。
