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如何预防上颌窦手术后的各种神经痛主诉?(作者译)

[How to prevent the various neuralgic complaints after operation of maxillary sinus? (author's transl)].

作者信息

Brusis T

出版信息

Laryngol Rhinol Otol (Stuttg). 1979 Jan;58(1):54-65.

PMID:763053
Abstract

In order to avoid multiple neuralgic complaints after operations of maxillary sinus the following advice for cautions operative procedures is as follows: 1. A vertical incision in the mucosa of the fossa canine behind the eye-tooth instead of the usual horizontal section. 2. A small dorsolateral fenestration in a part of less nervous ramification in the facial bone layer of the antrum of High-more. 3. The limitation of resection of the mucous membrane in pathological areas of the sinus. 450 operations of the maxillary sinus were done in this way, which resulted in a lower rate of postoperative neuralgic complaints. Another advantage was the minimized intraoperative bleeding and the absence of postoperative swelling and haematoma formation of the cheek.

摘要

为避免上颌窦手术后出现多种神经痛症状,以下是关于谨慎手术操作的建议:1. 在尖牙窝黏膜处作垂直切口,位于尖牙后方,而非通常的水平切口。2. 在筛上颌窦面部骨层神经分支较少的部分作一个小的背外侧开窗。3. 限制在鼻窦病理区域切除黏膜。采用这种方法进行了450例上颌窦手术,术后神经痛症状发生率较低。另一个优点是术中出血最少,且术后脸颊无肿胀和血肿形成。

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