ENDOSCOPIC EXAMINATION AND TREATMENT OF PARANASAL SINUS DISEASE IN 16 HORSES
ENDOSCOPIC EXAMINATION AND TREATMENT OF PARANASAL SINUS DISEASE IN 16 HORSES
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DOI：
10.1111/j.1532-950x.1993.tb00429.x
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发表时间：
1993-11-01
影响因子：
1.8
通讯作者：
FREEMAN, DE
中科院分区：
文献类型：
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作者：
RUGGLES, AJ;ROSS, MW;FREEMAN, DE
16匹疑似鼻窦疾病的马在站立和镇静（14匹马）或全身麻醉（2匹马）下使用4.0 mm关节镜对鼻窦进行内窥镜检查。内镜诊断包括鼻窦炎（4匹马）、鼻窦囊肿（3匹马）、出血（3匹马）、肿瘤（3匹马）和牙根异常（2匹马）。在一匹马中未检测到异常。13匹马（81%）的内镜检查结果与放射学检查结果一致。使用鼻窦内窥镜获得用于细菌学（8匹马）和组织学检查（5匹马）的鼻窦内容物样本。在10匹马中，诊断性鼻窦内窥镜检查与清创、灌洗和抽吸相结合作为治疗技术。 在三匹马中，在诊断性内窥镜检查证实鼻窦疾病后进行鼻窦探查，而在三匹马中，在鼻窦内窥镜检查后不建议进一步治疗。总体上，11匹马（69%）的鼻窦疾病临床体征消退，仅使用内窥镜技术，10匹马中有8匹（80%）的鼻窦炎、囊肿形成或出血症状消退。所有马的汇管区均出现轻度、局部皮下气肿，但愈合后没有出现其他并发症。一匹马发生了鼻窦结构的医源性损伤。鼻窦内窥镜检查在副鼻窦疾病的诊断和治疗中是有用的，并且在一些马中避免了对鼻窦探查术的需要。
Sixteen horses with suspected paranasal sinus disease had endoscopic examination of the paranasal sinuses with a 4.0 mm arthroscope either while standing and sedated (14 horses) or under general anesthesia (two horses). Endoscopic diagnosis included sinusitis (four horses), sinus cyst (three horses), hemorrhage (three horses), neoplasia (three horses), and tooth root abnormalities (two horses). No abnormalities were detected in one horse. Endoscopic findings concurred with the radiographic findings in 13 horses (81 %). Samples of sinus contents for bacteriologic (eight horses) and histologic examinations (five horses) were obtained using sinus endoscopy. Diagnostic sinus endoscopy was combined with debridement, lavage, and suction as a therapeutic technique in 10 horses. In three horses, sinus exploration was performed after diagnostic endoscopy confirmed sinus disease, whereas in three horses, further therapy was not recommended after sinus endoscopy. Clinical signs of sinus disease resolved in 11 horses (69%) overall and in eight of 10 horses (80%) with sinusitis, cyst formation, or hemorrhage using endoscopic techniques alone. Mild, local subcutaneous emphysema occurred at the portal sites in all horses, but healing occurred without additional complications. Iatrogenic damage to sinus structures occurred in one horse. Sinus endoscopy was useful in the diagnosis and management of paranasal sinus disease and avoided the need for exploratory sinusotomy in some horses.