Schulte D L, Kasperbauer J L
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Laryngoscope. 1998 Dec;108(12):1813-5. doi: 10.1097/00005537-199812000-00009.
Document the safety of paranasal sinus surgery in cystic fibrosis patients and review the changing trends in paranasal sinus surgery in the cystic fibrosis population.
Retrospective review.
Chart review of cystic fibrosis patients who underwent paranasal sinus surgery from 1955 to 1997.
Indications for surgery included chronic sinusitis, nasal obstruction, purulent rhinorrhea, head pain, and pyocele. Average duration of anesthesia was 2.1 hours. The complication rate from general anesthesia was zero. Excessive bleeding and significant hypoxia did not occur.
Paranasal sinus surgery and general anesthesia can be safely performed in cystic fibrosis patients. The indications for paranasal sinus surgery are changing from symptomatic nasal obstruction to pre-lung transplantation care. Today, treatment has evolved to include placement of sinus catheters for direct topical instillation of antibiotics and consideration of maxillary and frontal sinus obliteration.
记录囊性纤维化患者鼻窦手术的安全性，并回顾囊性纤维化人群鼻窦手术的变化趋势。
回顾性研究。
对1955年至1997年接受鼻窦手术的囊性纤维化患者进行病历回顾。
手术指征包括慢性鼻窦炎、鼻塞、脓性鼻漏、头痛和脓囊肿。平均麻醉时间为2.1小时。全身麻醉的并发症发生率为零。未发生大出血和严重缺氧情况。
囊性纤维化患者可安全地进行鼻窦手术和全身麻醉。鼻窦手术的指征正从有症状的鼻塞转变为肺移植前护理。如今，治疗方法已发展为包括放置鼻窦导管以直接局部滴注抗生素以及考虑上颌窦和额窦闭塞。
