Initial report on postoperative healing after endoscopic sinus surgery with the microdebrider
Initial report on postoperative healing after endoscopic sinus surgery with the microdebrider
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DOI：
10.1016/s0194-5998(98)70272-4
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发表时间：
1998-06-01
影响因子：
3.4
通讯作者：
Jacobs, JB
中科院分区：
文献类型：
--
作者：
Bernstein, JM;Lebowitz, RA;Jacobs, JB
鼻窦粘连的形成是内窥镜鼻窦手术后的常见现象，可能导致症状性鼻窦流出道梗阻。为了减少粘连的发生，采用了各种方法，包括精细的手术技术、中鼻甲部分切除、中鼻道间隔或支架以及术后清创。微型清理器是一种电动旋转式剃须刀，可以精确地切除组织，最大限度地减少意外的粘膜损伤和剥离。本文报道了40例鼻内窥镜手术，患者至少随访5个月，粘膜愈合快，结皮形成少，粘连发生率低，这些初步数据表明微清理器在慢性鼻窦炎的手术中可能是有利的。
Synechiae formation is a frequent occurrence after endoscopic sinus surgery and may cause symptomatic sinus outflow tract obstruction. Various means are used to reduce the incidence of synechiae formation, These include meticulous operative technique, partial middle turbinate resection, middle meatus spacers or stents, and postoperative debridement, The microdebrider is a powered rotary shaving device that precisely resects tissue, minimizing inadvertent mucosal trauma and stripping. We present 40 cases of endoscopic sinus surgery performed with the microdebrider, Patients had at least a 5-month follow-up and demonstrated rapid mucosal healing, minimal crust formation, and a low incidence of synechiae formation, These initial data suggest that the microdebrider may be advantageous in surgery for chronic sinusitis.