RESUMO
Postoperative care is a crucial aspect for the success of paranasal sinus interventions. Basic procedures include saline nasal wash, which should be started on the first postoperative day, topical steroids, and antibiotics in cases of infection. Medical treatment involves aspiration of secretion in the inferior meatus during the first week. Removal of scabs in the surgical field should be carried out under endoscopic control beginning at the second week. Intervals are scheduled individually. Occlusion of the nose for the time of epithelium regeneration provides a moist space in the ethmoid, which improves wound healing.
Assuntos
Seios Paranasais , Endoscopia , Humanos , Seios Paranasais/cirurgia , Cuidados Pós-Operatórios , CicatrizaçãoAssuntos
Vazamento de Líquido Cefalorraquidiano/etiologia , Traumatismos Craniocerebrais/complicações , Dura-Máter/lesões , Vasos Linfáticos/lesões , Meningites Bacterianas/etiologia , Base do Crânio/irrigação sanguínea , Vazamento de Líquido Cefalorraquidiano/diagnóstico , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Craniocerebrais/cirurgia , Dura-Máter/irrigação sanguínea , Feminino , Humanos , Meningites Bacterianas/diagnóstico , Pessoa de Meia-Idade , Recidiva , Base do Crânio/lesões , Fatores de TempoRESUMO
The advent of endoscopic sinus surgery led to a resurgence of interest in the detailed anatomy of the internal nose and paranasal sinuses. However, the official Terminologica Anatomica used by basic anatomists omits many of the structures of surgical importance. This led to numerous clinical anatomy papers and much discussion about the exact names and definitions for the structures of surgical relevance. This European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses was conceived to re-evaluate the anatomical terms in common usage by endoscopic sinus surgeons and to compare this with the official Terminologica Anatomica. The text is a concise summary of all the structures encountered during routine endoscopic surgery in the nasal cavity, paranasal sinuses and at the interface with the orbit and skull base but does not provide a comprehensive text for advanced skull base surgery. It draws on a detailed review of the literature and provides a consensus where several options are available, defining the anatomical structure in simple terms and in English. It is recognised that this is an area of great variation and some indication of the frequency with which these variants are encountered is given in the text and table. All major anatomical points are illustrated, drawing on the expertise of the multi-national and multi-disciplinary contributors to this project.