- 期刊
內視鏡鼻竇手術的手術併發症及術後照顧
Complications and Postoperative Care of Endoscopic Sinus Surgery
摘要
內視鏡鼻竇手術為目前鼻科醫師處理慢性鼻及鼻竇炎、鼻竇腫瘤、顱底腫瘤的主要方式。雖然內視鏡手術有微創、出血少的優勢，但一個成功的內視鏡鼻竇手術，卻是高度仰賴術者解剖知識、對於器械操作的熟悉度以及併發症的處理的能力。事實上，內視鏡鼻竇手術的併發症很難完全避免，所以對於併發症的種類、預防與處置，就變得非常重要。主要或嚴重併發症（major or serious complications）會造成患者重大失能甚至死亡，不可不慎。此外，內視鏡鼻竇手術之後，及時與適當的術後照護，對於短期與遠期的術後恢復，有著決定性的影響，故手術者對於術後的照顧應有所瞭解，以期獲致最佳手術結果。本文將針對預防併發症所需的術前準備、術後併發症種類的介紹與處理方式，及適當術後照護來做說明與文獻整理。
並列摘要
Endoscopic sinus surgery (ESS) is the current surgical procedure of choice for chronic rhinosinusitis, sinonasal tumors and skull base tumors. Although it is less invasive with less blood loss than traditional open procedures, ESS requires a high level of skill and capability for dealing with complications. Early awareness, prevention, and management of complications is crucial, as they occur quite often, and can lead to severe morbidity and even mortality. In addition, in-time, proper postoperative care of ESS patients is also very important in terms of long-term outcomes, and should be included in the whole surgical management package. We summarize evidence and recommendations from the European Position Paper on Rhinosinusititis and Nasal Polyps (EPOS)-2020 on surgical complications from ESS and postoperative care.