Endoscopic nasal surgery again.docVIP

 PAGE \* MERGEFORMAT 11 Endoscopic nasal surgery again Keywords: endoscopic nasal surgery The traditional line of deviation of nasal septum nasal septum corrective surgery, the clinical cases of surgical failure often need to be re-correction, due to previous surgery deviated septum septal cartilage and bone in patients with localized irregular defects, operative cavity tissue adhesion, re-operation surgery difficult, prone to nasal septum perforation, difficulty increased significantly compared with the first time [1,2], increasing the risk of perforation of the nasal septum. Author since February 2000 to December 2006 under the nose and nasal endoscopy and imaging system, further surgery in 38 cases, satisfactory effect, the report is as follows. A clinical data 1.1 General Information The group of 38 cases, 20 males and 18 female cases; aged 16 to 50 years old. Clinical symptoms: there is past history of nasal surgery, there are nasal ventilation dysfunction, a persistent nasal obstruction, runny nose, headache, nose bleeding, sleep snoring. 3 patients with allergic rhinitis and chronic sinusitis in 5 cases. Deviation of nasal septum: The high partial Qu 18 cases, 11 cases of posterior segment Deviation (of which three cases of spinous process for the isolation), low partial song in 5 cases, the front side song in 4 cases. 2 second operation time between 9 months to 5 years. 1.2 Methods Admission by routine examination, no surgical contraindications, preoperative conventional CT scan to determine the location and extent of partial songs, nasal cavity, paranasal sinuses lesions. Choose to surgery under general anesthesia in order to shrink nasal mucosa adrenaline cotton sheet, using nasal endoscopy and imaging system (U.S. Salong amp; Nephew), a careful exploratory surgery of nasal septum cartilage in the previous range, retained bone Deviation the location, extent and scope. Incision should be chosen based on the