Wielgosz R, Mroczkowski E
Kliniki Laryngologicznej Szpitala Alfrieda Kruppa w Essen, Niemcy.
Otolaryngol Pol. 1994;48(3):227-38.
Endonasal sinus surgery in the case of inflammatory disease is of increasing importance. The maxillary, ethmoid, sphenoid and frontal sinus operations as well as the septumplasty are performed microsurgically. There are only few indications, when the intranasal procedure cannot be applied. We prefer all intranasal operations with the patient placed in semi-Fowler's position with hypotensive anaesthesia. Out of a total of 310 cases in which endonasal microsurgery was performed, 251 were submitted to a retrospective study 12-36 months after the operation. In our study there was an operative success rate of 92.8%. No complications such as: CSF leakage, persisting postoperative visual or ocular disturbance or vascular complications were observed. Compared with transfacial or external sinus surgery, the advantage of the transantral microsurgical technique are better functional results, fewer complications an a reduced duration of hospitalization.
对于炎性疾病，鼻内鼻窦手术的重要性日益增加。上颌窦、筛窦、蝶窦和额窦手术以及鼻中隔成形术均采用显微外科手术进行。只有在极少数情况下才无法采用鼻内手术。我们更倾向于在患者处于半福勒氏位并采用降压麻醉的情况下进行所有鼻内手术。在总共310例进行鼻内显微手术的病例中，对其中251例在术后12至36个月进行了回顾性研究。在我们的研究中，手术成功率为92.8%。未观察到诸如脑脊液漏、术后持续的视力或眼部障碍或血管并发症等并发症。与经面部或外部鼻窦手术相比，经窦显微外科技术的优势在于功能效果更好、并发症更少以及住院时间缩短。
