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Endoscopic sinus surgery for chronic sinusitis and clinical analysis

nl of 36 cases of type. Part associated with deviated septum, some with allergic constitution. Were routine preoperative coronal and axial paranasal sinus CT scan in patients without contraindications week before surgery began to take strong pine (30mg times / day, morning and Dayton clothing), and oral broad-spectrum antibiotics for 1 week. If hypertension or diabetes-related sections before surgery consultation, be controlled to lower blood pressure to normal (140/90mmHg or less), blood glucose ≤ 10mmol / L after surgery. 1.2 Methods 37 cases of surgical anesthesia, and the remaining 113 cases were performed under local anesthesia, application of 1% of the cotton pad line Dingkayinjia epinephrine topical anesthesia of nasal mucosa, and 1% lidocaine with epinephrine local anesthesia specific anatomical parts, such as agger, uncinate process at the base, in a department attached to the outside of the back-end, etc.. Used in endoscopic surgery from front to back method (Messerklinger surgical),[link widoczny dla zalogowanych], respectively, removal of uncinate process, ethmoid bulla opening, removal of polyps, where appropriate, open ethmoid, maxillary, frontal, sphenoid sinus, expanding maxillary sinus, frontal sinus , sphenoid sinus natural mouth. If no significant lesion of the middle turbinate or mild polypoid change, then the reservation middle turbinate; as severe in the nasal polyp-like change or reverse bending block sinus drainage, the removal of part of the middle turbinate, middle turbinate line angioplasty. 1.3 Statistical analysis All data are SPSS13.0 software processing. Count data were compared by chi-square test. When P 0.05,[link widoczny dla zalogowanych], the difference was not significant. 3 Discussion endoscopic sinus surgery (ESS) after years of development and application of chronic sinusitis has been widely recognized. The main symptoms of chronic sinusitis, nasal resistance, headache, nasal discharge, smell disorders,[link widoczny dla zalogowanych], seriously affecting the quality of life of patients,[link widoczny dla zalogowanych], and a large number of studies have shown that ESS can effectively relieve the symptoms of chronic sinusitis. ... Mucosal inflammation goal is to create positive outcomes consistent with the physiological needs of the local environment to rebuild the structure to eliminate disease and improve ventilation, unobstructed drainage, mucous membrane to retain the basic principles. Some studies have shown: the body normal OMC (OMC) for the integration of microbial relatively clean lines; lesions was between the more fragmented state of microorganisms; endoscopic sinus surgery The major impact of the micro-ecological system the integration is to reverse the destruction of micro-ecological environment, thus contributing to its normal state transferred to the J. However, different types of ESS for chronic sinusitis are not the same effect, Table 2 shows the I-, II-type of effect is significant 1,2, lI-type 3 and type Ⅲ less effective, which is the former short course, risk factors simple anatomical abnormalities in the main, irreversible mucosal lesions less. The latter course of a long, complex risk factors, lesion range, irreversible changes in mucosal lesions are more scar tissue,[link widoczny dla zalogowanych], lack of anatomic landmarks and surgical factors related to allergy. Therefore, sinusitis, nasal polyps surgery should take positive and normative early intervention in order to achieve the best effect, avoid the course of a long time, the increase in disease risk factors to expand the scope of irreversible changes in mucosal lesions increase and cilia function restoration of the affected. Around the sinuses and eyes, brain, vascular anatomy, in some cases for the second operation, anatomic landmarks damaged, so the corresponding endoscopic surgery is facing the risk of complications. The practical clinical observations, mainly due to complications caused by anatomical variation, anatomic landmark destruction, surgery blood more blindly in a pool of blood manipulation.
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