Prevention of complications of endoscopic sinus surgery.doc

 PAGE \* MERGEFORMAT 7 Prevention of complications of endoscopic sinus surgery [Abstract] the increasing application of endoscopic sinus surgery, surgical complications included intracranial complications, ocular complications and other complications. Complication to bring great harm to both doctors and patients, and should be fully prevented. Prevention of major patients who rely on accurate judgments, whether or not preoperative preparation of the detailed, hand bleeding and how many sophisticated level of four instruments. [Keywords:] endoscopic sinus surgery; complications Endoscopic sinus 80 years since the 20th century, the rise of the core technology for the endoscopic view with a good clear ostiomeatal complex lesions, the sinus opening is blocked, clean polyps and mucosal edema, so that lesions to glands and cilia return to normal function, so as to achieve the purpose of cure chronic sinusitis. With the growing popularity of endoscopic sinus surgery, surgical complications, the rise in serious complications such as nerve injury, cerebrospinal fluid leakage, lethal hemorrhage in the internal carotid artery, are common. Cause complications for many reasons, foremost among which is the technique those judgments, the estimated range of surgical diseases, as well as anesthesia, the patient has a definite understanding. Example 1: The patient, male, 42 years old. Suffering from sinusitis and nasal polyps more than 3 years, CT showed two-screen maxillary sinusitis, nasal polyps on the right. Were generally good, good physical, preoperative oral administration of hormones and antibiotics, intravenous treatment, no coronary heart disease and other serious cardiovascular and cerebrovascular disease, can tolerate anesthesia and surgery, preoperative sinus CT showed no hyperplasia, no anatomical variation, the preoperative understanding, sinus, after the screening, sphenoid sinus lesions light, without too much open, just before the screen, the max