ESSの合併症と安全な手術

森山 寛

doi:10.5106/jjshns.5.71

書誌事項

タイトル別名

Complications of ESS and Safe Surgery

説明

Endoscopic Sinus Surgery (ESS) is generally accepted as a safe surgery, however, surgeons who have poor understanding of surgical anatomy and variation of paranasal sinus cause troubles such as injury lamina papyracea, blood vessel and ethmoid roof (CSF leak) during surgery. Orbital tissue injury is the most frequent among the problems of sinus surgery. When only orbital fat tissue is pulled out, the patient will have just edema and subcutaneous hemorrhage around the eye. However, if the orbital muscle, especially medial rectal muscle, is injured, disturbance of eye movement occurs. Severe bleeding during surgery generally causes these problems, because surgical field is not identified under endoscope. Therefore, the important things which prevent injury and perform safe surgery are as f of lows : 1. Full knowledge of surgical anatomy 2. Manipulation of forceps under clear observation 3. Control bleeding, pain and blood pressure by sufficient anesthesia 4. Selection of appropriate forceps and correct manipulation of forceps 5. Adequate and quick treatment for injuries.

収録刊行物

頭頸部外科

頭頸部外科 5 (2), 71-73, 1995

特定非営利活動法人日本頭頸部外科学会

キーワード

詳細情報詳細情報について

CRID: 1390001205285037952

NII論文ID: 130004092277

DOI: 10.5106/jjshns.5.71

ISSN: 1884474X; 1349581X

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