功能性内视镜鼻窦手术

功能性内视镜鼻窦手术(英语:Functional endoscopic sinus surgeryFESS)是一个侵入性较小的手术,它利用鼻腔内视镜来扩张鼻窦中唯一的开口(一个鼻窦只有一个开口),也就是鼻窦与鼻腔相通的开口,避免鼻窦里面的鼻黏膜所分泌的鼻液因为开口过小而堵塞无法排放到鼻腔[1],久而引起病毒感染、细菌感染、霉菌感染、发炎等问题。一旦鼻窦内部排空不再蓄积鼻水,将改善鼻子的通气。[2][3]

功能性内视镜鼻窦手术
正在施行功能性内视镜鼻窦手术的耳鼻喉科医师。萤幕所显示的鼻腔即时画面就是内视镜的视角。
专科耳鼻喉科学

这个手术普遍被用来治疗较难单纯透过药物搭配非侵入式疗法而痊愈的鼻窦炎鼻息肉等鼻窦之发炎性和感染性质疾病。[4][5] [6][4]

这个手术也被用来治疗某些癌症格雷氏病英语Graves ophthalmopathy(突眼甲状腺肿)之视神经/眼窝减压等。[7][2]

文献

  1. ^ Sinus: Pain, Pressure, Drainage - Gastonia, Shelby, Belmont. ENT Carolina - Gastonia, Shelby, Belmont. 2016-07-06 [2018-09-15]. (原始内容存档于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]. (原始内容存档于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]. (原始内容存档于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.