Nasal septum perforation caused by endoscopic sinus surgery cause analysis.docVIP

 PAGE \* MERGEFORMAT 7 Nasal septum perforation caused by endoscopic sinus surgery cause analysis [Keywords:] Endoscopy cause of nasal septum perforation Nasal septum perforation for many reasons, one of the most common cause is iatrogenic factors. Our department since March 2006 ~ March 2009 completed a total of endoscopic nasal surgery (including simple lines and the concomitant nasal sinus surgery, turbinate surgery 112 cases, of which 2 cases complicated with nasal septal perforation, are as follows. 1 Clinical data Case 1: male patients, aged 45. Complained of persistent nasal obstruction for 10 years. Examination: nasal septum deviation and right-C, two in the nasal passages and olfactory cleft new bio-gray translucent (confirmed by pathology of nasal polyps, under a double mast. CT examination revealed bilateral maxillary sinus, ethmoid, frontal sinus inflammation. in accordance with the standards of 1997, Haikou, diagnosed with chronic sinusitis ( type 2. local anesthesia endoscopic nasal septum surgery, sinus surgery and two under the open A fracture of the relocation operation. successful surgery, blood loss of about 100ml, operative time was 120min. intraoperative nasal mucosa damage was not found. of surgery for nasal double vaseline gauze. a postoperative intravenous antibiotics and hormones 3 days . after 2 days pumping cavity surgery gauze packing, wash the operative cavity with normal saline per day. topical beclomethasone nasal spray. 7 days after discharge, right side of the nasal mucosa pale Little area, contralateral mucosal smooth and complete. 1 week after discharge showed bilateral Little zone covered with thick crusts, remove crusts that found the bottom of the nasal septum with a diameter of about 5mm perforation. Case 2: male patients, aged 68. Chief complaint of nasal obstruction with dual 3-year flow of purulent nasal discharge, increased with headache in June. Examination: nasal septum on the left spinous process, two