Castillo L, Verschuur H P, Poissonnet G, Vaille G, Santini J
Department of Otorhinolaryngology, Centre Hospitalier Universitaire Pasteur, Nice, France.
Rhinology. 1996 Dec;34(4):215-8.
The authors reviewed a series of 553 consecutive patients who underwent endoscopically guided sinus surgery. Major complications occurred in six patients (2.2%). There was one death due to incorrect positioning of the frontal drain. One patient developed a cerebrospinal fluid leak which had to be closed with an osteomucosal graft. Two patients who developed severe bleeding after removal of the nasal packing, needed ligation of the sphenopalatine artery and the internal maxillary artery, respectively. Two patients developed a complete stenosis of the nasolacrimal duct, necessitating a dacryocystorhinostomy. Minor complications occurred in 36 patients (13.4%). These included damage to the lamina papyracea (n = 11), severe bleeding after removal of the nasal packing treated conservatively (n = 6), intranasal mucosal adhesions (n = 17), and atrophic rhinitis (n = 2). The aetiology, prevention and treatment of complications during and after sinus surgery are also discussed.
作者回顾了连续553例接受内镜引导下鼻窦手术的患者。6例患者（2.2%）发生了严重并发症。1例因额窦引流位置不当死亡。1例患者出现脑脊液漏，需用骨黏膜移植物进行封闭。2例患者在取出鼻腔填塞物后出现严重出血，分别需要结扎蝶腭动脉和上颌内动脉。2例患者出现鼻泪管完全狭窄，需要进行泪囊鼻腔吻合术。36例患者（13.4%）发生了轻微并发症。这些包括纸样板损伤（n = 11）、取出鼻腔填塞物后经保守治疗的严重出血（n = 6）、鼻内黏膜粘连（n = 17）和萎缩性鼻炎（n = 2）。文中还讨论了鼻窦手术期间及术后并发症的病因、预防和治疗。
