Eloy P, Bertrand B, Rombaux P
Catholic University of Louvain (UCL), Cliniques Universitaires UCL de Mont-Godinne, Department of Otorhinolaryngology and Head and Neck Surgery, Yvoir, Belgium.
Acta Otorhinolaryngol Belg. 1997;51(4):271-84.
The treatment of chronic sinusitis has four objectives: to control infection, to reduce tissue edema, to facilitate the drainage of sinus secretions and to maintain ostial permeability. Medical treatment includes antibiotics, decongestants, mucolytics, steroids and analgesics. Surgical treatment may be conservative, functional or radical. At present, "FESS" is the "Golden Standard". It is focused on the middle ostiomeatal complex and the ethmoid cells. The extent of the operation is adapted according to each case. In spite of standardization of the operative procedure, this type of surgery is risky. Most of the reported complications are minor. Major complications require an immediate aggressive medico-surgical treatment to minimize the sequelae. Precise and complete pre-operative evaluation, good preparation of the patient, meticulous and adapted surgical technique and experience acquired through a regular practice of this type of surgery play a major role to lower the risks of complications.
控制感染、减轻组织水肿、促进鼻窦分泌物引流以及维持窦口通畅。药物治疗包括使用抗生素、减充血剂、黏液溶解剂、类固醇和镇痛药。手术治疗可以是保守性的、功能性的或根治性的。目前，“功能性鼻内镜鼻窦手术（FESS）”是“金标准”。它主要针对中鼻道复合体和筛窦气房。手术范围根据具体病例进行调整。尽管手术操作已标准化，但这类手术仍有风险。报告的大多数并发症较轻微。严重并发症需要立即采取积极的药物和手术治疗，以尽量减少后遗症。精确而全面的术前评估、患者的良好准备、细致且合适的手术技巧以及通过定期开展这类手术积累的经验，对于降低并发症风险起着重要作用。
