[鼻夹板——鼻内镜鼻窦手术后护理的占位器]
[Nasal splint--space holder for after-care in endoscopic paranasal sinus operations].
作者信息
Kaschke O, Behrbohm H
机构信息
HNO-Klinik, Universitätsklinikum Charité, Berlin.
出版信息
Laryngorhinootologie. 1998 Jul;77(7):414-7. doi: 10.1055/s-2007-997000.
BACKGROUND
Scars and synechiae in the middle meatus of the nose are dreaded late complications of endoscopic sinus surgery. The placement of a stent into the ethmoidal sinus for ventilation and drainage during and after the wound healing in the nose and the sinuses seems to be advantageous.
METHOD
A nasal splint (Nasensplint, Primed, Halberstadt) made of silicone, consisting of an oval shaped plate and a lateral groove with an attached strap is presented. A part of the groove should be placed in the middle meatus of the nose. The plate also acts as a stent after septal surgery. Up to now the nasal splint was placed in 32 patients after endoscopic sinus surgery and were left in place for 5-14 days.
RESULTS
All patients tolerated the stents. No side effects or complications were observed. In the postoperative controls (2-12 weeks) no synechiae were observed.
CONCLUSION
The nasal splint presented here seems to be a useful solution for problems in postoperative wound healing after endoscopic sinus surgery. It can help to avoid fibrin bridges between corresponding wound surfaces.
背景
鼻中道的瘢痕和粘连是鼻窦内窥镜手术令人担忧的晚期并发症。在鼻腔和鼻窦伤口愈合期间及之后，在筛窦置入支架以进行通气和引流似乎是有益的。
方法
介绍一种由硅胶制成的鼻夹板（鼻夹板，Primed，哈尔伯施塔特），它由一个椭圆形板和一个带有附着带的侧槽组成。槽的一部分应置于鼻中道。该板在鼻中隔手术后也可作为支架。到目前为止，32例患者在内窥镜鼻窦手术后使用了鼻夹板，并留置5 - 14天。
结果
所有患者均耐受支架。未观察到副作用或并发症。在术后对照（2 - 12周）中未观察到粘连。
结论
这里介绍的鼻夹板似乎是解决鼻窦内窥镜手术后伤口愈合问题的一种有用方法。它有助于避免相应伤口表面之间形成纤维蛋白桥。
Zotero 插件