Endoscopic sinus surgery in the treatment of perioperative.docVIP

 PAGE \* MERGEFORMAT 6 Endoscopic sinus surgery in the treatment of perioperative Review our department in February 2008 to November with endoscopic sinus surgery in 65 patients with chronic sinusitis and nasal polyps in patients with perioperative data, reported as follows. 1 Materials and Methods 1.1 General information on patients with a total of 65 cases, 37 cases were male (72 sides), female 28 cases (50 sides); aged 17 to 49 years, mean 31 years; course of 2 to 18 years, 63 cases in the first operation, 2 patients relapsed second operation. Haikou all cases meeting criteria according to the 1997 staging classification: type 1 in 7 patients (13 sides), 2, 26 patients (49 sides), 3 of 16 patients (32 sides); type 1 5 (7 sides), 2 of 5 patients (9) side, 3 and 4 (8 sides), type 2 cases (4 sides). preoperative exclude tuberculosis, hypertension and diabetes and other diseases. 1.2 Methods were all patients oral antibiotics and corticosteroids 3 days, routine nasal endoscopy and CT scan, anatomic variation of understanding and inflammatory reactions. Luminal preoperative intramuscular injection of sodium 0.5h 0.1 + atropine 0.5mg. All patients underwent local anesthesia, the use of Messer-klinger basic procedure, and intraoperative use of electric attraction cutter. type the line before the screen, opening and opening up the natural maxillary sinus surgery; type to clear nasal polyps, removal of uncinate process Parallel Full ethmoid, maxillary sinus open surgery or open surgery the whole group; type traveling sinus polyps removed + full set of open surgery. associated with deviation of nasal septum in 11 cases because of concomitant operation of nasal septum surgery. postoperative vaseline gauze surgical cavity. 48h after taking the nasal cavity filled. after 5 days of intravenous antibiotics and dexamethasone, the first 3 World dexamethasone 10mg / d, after 2 days to 5mg / d. At the same time in surgery 3 days after saline and dexa