Streitmann M J, Otto R A, Sakai C S
Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center at San Antonio.
Ann Otol Rhinol Laryngol. 1994 Feb;103(2):105-9. doi: 10.1177/000348949410300204.
Complications of endoscopic and classic intranasal sinus surgery have been documented by case reports and large retrospective reviews. The most serious complications have involved violation of the intracranial space or orbit. Hemorrhage has also proven to be a significant cause of morbidity, either of itself, or by limiting visualization and thus contributing to other injuries. Although numerous studies have been performed to determine various anatomic relationships, relatively few have addressed relationships that use practical reference points easily accessible to the endoscopic or intranasal sinus surgeon. In an effort to reduce the risk of complications such as blindness, orbital hematoma, and injury to the lacrimal sac or central nervous system, we have performed 50 cadaver dissections and measured 7 anatomic landmarks that may aid the surgeon in preventing these complications. We have also included a review of the literature concerning the complications of endoscopic and intranasal sinus surgery addressed herein.
内镜鼻窦手术和传统鼻内鼻窦手术的并发症已通过病例报告和大型回顾性研究得到记录。最严重的并发症涉及颅内间隙或眼眶的侵犯。出血也已被证明是发病的一个重要原因，无论是其本身，还是通过限制视野从而导致其他损伤。尽管已经进行了大量研究以确定各种解剖关系，但相对较少的研究涉及使用内镜或鼻内鼻窦外科医生易于触及的实用参考点的关系。为了降低失明、眼眶血肿以及泪囊或中枢神经系统损伤等并发症的风险，我们进行了50次尸体解剖，并测量了7个解剖标志，这些标志可能有助于外科医生预防这些并发症。我们还纳入了本文所讨论的关于内镜鼻窦手术和鼻内鼻窦手术并发症的文献综述。
