功能性內視鏡鼻竇手術

功能性內視鏡鼻竇手術(英語:Functional endoscopic sinus surgeryFESS)是一個侵入性較小的手術,它利用鼻腔內視鏡來擴張鼻竇中唯一的開口(一個鼻竇只有一個開口),也就是鼻竇與鼻腔相通的開口,避免鼻竇裡面的鼻黏膜所分泌的鼻液因為開口過小而堵塞無法排放到鼻腔[1],久而引起病毒感染、細菌感染、黴菌感染、發炎等問題。一旦鼻竇內部排空不再蓄積鼻水,將改善鼻子的通氣。[2][3]

功能性內視鏡鼻竇手術
正在施行功能性內視鏡鼻竇手術的耳鼻喉科醫師。螢幕所顯示的鼻腔即時畫面就是內視鏡的視角。
專科耳鼻喉科學

這個手術普遍被用來治療較難單純透過藥物搭配非侵入式療法而痊癒的鼻竇炎鼻息肉等鼻竇之發炎性和感染性質疾病。[4][5] [6][4]

這個手術也被用來治療某些癌症格雷氏病英語Graves ophthalmopathy(突眼甲狀腺腫)之視神經/眼窩減壓等。[7][2]

文獻

  1. ^ Sinus: Pain, Pressure, Drainage - Gastonia, Shelby, Belmont. ENT Carolina - Gastonia, Shelby, Belmont. 2016-07-06 [2018-09-15]. (原始內容存檔於2018-09-15). 
  2. ^ 2.0 2.1 Slack R, Bates G. Functional endoscopic sinus surgery. American Family Physician. September 1998, 58 (3): 707–18. PMID 9750539. 
  3. ^ Functional Endoscopic Sinus Surgery. UNC Otolaryngology/Head and Neck Surgery. [2018-06-09]. (原始內容存檔於2020-11-12). 
  4. ^ 4.0 4.1 Cazzavillan A, Castelnuovo P, Berlucchi M, Baiardini I, Franzetti A, Nicolai P, Gallo S, Passalacqua G. Management of chronic rhinosinusitis. Pediatric Allergy and Immunology. August 2012,. 23 Suppl 22: 32–44. PMID 22762852. doi:10.1111/j.1399-3038.2012.01322.x. 
  5. ^ Sukato DC, Abramowitz JM, Boruk M, Goldstein NA, Rosenfeld RM. Endoscopic Sinus Surgery Improves Sleep Quality in Chronic Rhinosinusitis: A Systematic Review and Meta-analysis. Otolaryngology–Head and Neck Surgery. February 2018, 158 (2): 249–256. PMID 29065273. doi:10.1177/0194599817737977. 
  6. ^ Patel A. Functional Endoscopic Sinus Surgery: Overview, Preparation, Technique. eMedicine. 2 March 2016 [2018-09-15]. (原始內容存檔於2018-07-24). 
  7. ^ Meccariello G, Deganello A, Choussy O, Gallo O, Vitali D, De Raucourt D, Georgalas C. Endoscopic nasal versus open approach for the management of sinonasal adenocarcinoma: A pooled-analysis of 1826 patients. Head & Neck. April 2016,. 38 Suppl 1 (S1): E2267–74. PMID 26335008. doi:10.1002/hed.24182.