Endoscopic Surgical Care.docVIP

 PAGE \* MERGEFORMAT 8 Endoscopic Surgical Care [Keywords:] Endoscopic surgical care Endoscopic sinus surgery with basic and clinical research has deepened the rapid development of endoscopic sinus surgery and mature, whether it is endoscopic sinus surgery (ESS), or functional endoscopic sinus surgery (FESS ), the application scope has been extended to the Department of Otolaryngology - Head and Neck Surgery (including the nose, eyes, skull-related surgery) in various fields. Through further examination of endoscopic nasal cavity, nasopharynx parts, guided by endoscopic biopsy. intranasal lower recurrence rate endoscope surgery, the treatment effect of perioperative treatment of functional endoscopic sinus surgery on the efficacy plays a crucial role in the care of the seriously correct the success of surgical treatment of certain guarantees. 1 Clinical data 1.1 General Information Endoscopic sinus surgery were performed 46 cases, 42 males and 14 females, aged 17 to 63 years, mean 39 years, bilateral lesions in 35 cases, 11 patients with unilateral lesions, 22 cases of sinusitis and nasal polyps in 9 cases, 12 cases of nasal tumor, septal deviation in 3 cases, 43 cases of intraoperative local anesthesia, general anesthesia in 11 cases. course of 3 months to 5 years, an average of 16 months. 1.2 The method to check the steps, with 1% ephedrine nasal saline contraction cotton pad, then with 1% tetracaine mucosal surface anesthesia. First mirror heated with hot water to prevent the endoscope into the nasal cavity mirror are due to temperature fog. hold 0 or 30 angle along the nasal floor into the mirror, across the posterior margin of nasal septum, the wall of the nasopharynx rotating mirror the situation observed. and then gradually to check out the site point to the nasal cavity. endoscope in the nasal polyp excision , open sinus surgery, 42 cases were cured, 4 cases improved. surgical treatment in accordance with the evaluation standa