内視鏡下鼻内手術における新しい手術手技

DOI

書誌事項

タイトル別名
  • THE EXPERIENCE OF THE NEW SINUS SURGERY TECHNIQUE
  • —Balloon Sinuplasty—
  • —BALLOON SINUPLASTY—

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説明

FESS is considered as the mainstream in current sinus surgery that is expanded around the ostium of sinus without remove the mucosal membrane for the purpose of the physiological ventilation and function of the sinus mucosa. With out the deep surgical damage to the mucosa, the early recovery of the physiologic function can be anticipated. The concept of the balloon sinuplasty (BSP) is pursue the concept of isthmus surgery with balloon dilation at narrowed ostium of sinus.<br>The balloon catheter is unurthrized of Pharmaceutical Affairs Act in Japan, modified of the cardiovasucular catheter. BSP has been operated over 43,000 cases at 43 countries in the world until now, especially in Europe and USA. The good outcome of long period had been reported, BSP is of current interest of the world. This clinical trial had been started at several university hospitals in Japan, and we will present the clinical cases of our experience. The guide wire is carried into sinus with endoscope as the technique of the cardiac catheter using image-guide and/or illumination system called ‘LUMA’. The surgical damage to the mucosa is very few with the balloon dilation, and no serious insult had been reported. The difference of the back grand in the sinusitis between Japan and Europe or USA may occer, the indication would be limmited in Japan. We think the best indication is the isolated neutrophilic inflammation in maxillary, frontal or sphenoid sinus. BSP has the possible potential for the high-frontal cell case like Kuhn type 4, without invasive surgical proedure, the modified endoscopic Lothrop for example. BSP is not the replacement of ESS, but it might be a power full new equipments for the sinus surgery with new idea and the selection of indication.

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