Endoscopic Frontal Surgery Research Articles

Nursing experience of inhalation of steroid for patients after endoscopy surgery

Objective To explore the nursing experience of inhalation of steroid for patients after endoscopy surgery. Methods From September to December 2016, we selected 200 patients with transnasal endoscopic frontal surgery of Allergy Department at Beijing Tongren Hospital, Capital Medical University as subjects. All of the patients were treated with the inhalation of glucocorticoid. Nurses provided the guidance of inhalation of steroid for patients and observed the effects. Results A total of 200 patients accepted inhalation. After inhalation, patients' subjective symptoms improved. A total of 182 patients were very satisfied with the nursing service and 18 patients were satisfied with the nursing service. Three months after surgery, there were 152 patients without edema, 24 with the mild edema and 24 with obvious edema in operation cavity of patients. Conclusions Reasonable guidance by nurses can optimize the effects of inhalation of steroid, promote the recovery of patients after surgery and improve patient satisfaction. Key words: Sinusitis; Nasal septum deviation; Endoscopy surgery; Inhalation

Surgical strategy for frontal sinus inverted papilloma

Inverted papilloma (IP) is a benign tumor with a local aggressive nature and has a tendency to recur after excision. Despite the evolution of endoscopic techniques in the management of IP, external approaches still play a crucial role in frontal sinus involvement. ObjectiveThe present study aimed at planning a strategy for managing IP arising in or involving the frontal recess and/or frontal sinus. Patients and methodsTen patients with frontal sinus IP were enrolled in the present study. The type of surgical procedure was tailored according to the site of origin and extent of the tumor. ResultsFive combined surgeries and five extended endoscopic surgeries were performed in 1 year and 4 months with a follow up period of 2 years. Complete resection of the tumor was achieved in all the cases and no recurrences were reported at the end of the follow up period. ConclusionsThe exact approach to frontal sinus IP differ from one case to the other. Endoscopic frontal surgery is the mainstay in treatment of frontal sinus IP. External or combined approaches still remain a valid option for lesions affecting the mucosa of the frontal sinus extensively or extending far lateral.

Apply mesh silica-drainage tube and mitomycin C synchronization during surgery to the effect of endoscopic frontal sinus surgery

Objective To investigate effect about application of mesh silica-drainage tube and mitomycin C (MMC) synchronization in endoscopic sinus surgery. Methods We selected 65 patients (116 sides)who have been operated on under nasal endoscopy in this study,included chronic frontal sinusitis,frontal mucocele,osteoma and inverted papilloma. 35 patients (64 sides) of the total was performed to apply mesh silica-drainage tube and MMC synchronization in endoscopic sinus surgery, which as MMC group;the other 30 patients (52 sides) who were not apply it as a control. What's more, all patients were followed 2 ～ 3 years after operation, and the postoperative efficacy and the incidence of complication in the two groups were compared. Results The total effective rate in MMC group(97.4%) was higher.than that of the control group(72.9%) (P<0.01). In MMC group, nasal adhesion after endoscopic sinus surgery was 1 case, and the incidence of complication was 1.6% ;but in control group, nasal adhesion was 7 cases,the ostium of frontal sinus atresia 1 case, the nasofrontal duct stenosis 2 cases, recurrence of the polyps or tumors 2 cases, so the incidence of complication was 23.1% The incidence of complication rate in MMC group was lower than that of the control group (P<0.01)Conclusion To apply mesh silica-drainage tube and mitomycin C synchronization in endoscopic sinus surgery can improve clinical effects of operation method, and postoperative complications are obviously decreased. So this method is convenient, safe and effective. Key words: Endoscopy surgery; Mitomycin C; Nasal sinuse

Study of the cells of frontal recess region with multi-detector CT multiplanar reconstruction and clinicaI significance

Objective To observe the cells of frontal recess region with multi-detector CT muhiplanar reconstruction(MPR).Methods One hundred patients without the disease of frontal sinus and frontal recess region underwent axial multi-detector CT scan with axial,coronal and sagittal multiplanar reconstruction.Results In 100 cases(200 sides),the agger nasi cell is present in 186 sides(93.0%),the frontal cells were identified in 88 sides(44.0%),the prevalence of type Ⅰ,type Ⅱ,type Ⅲ and type Ⅳ cells were 51 sides(58.0%),23 sides(26.1%),14 sides(15.9%)and 0 sides,respectively. The suprabullar cells,the frontal bullar cells and the supraorbital ethmoid cells were identified in 130 sides (65.0%),23 sides(11.5%)and 11 sides(5.5%),respectively.The interfrontal septal cells were identified in 36 sides(18.0%).There was no significant difference between males and females,as well as between left and right side(P＞0.05).Conclusion With MPR imaging,doctors could better understand the frontal recess region,which is helpful to the endoscopic frontal sinus surgery. Key words: Frontal sinus; Tomography; X-ray computed