Endoscopic Septoplasty in Conjunction with Endoscopic Sinus Surgery

伴隨內視鏡鼻竇手術之內視鏡鼻中膈整形術

蘇茂昌(Mao-Chang Su) ； 江榮亮(Jung-Liang Chiang) ； 江榮山(Rong-San Jiang)

《Mid-Taiwan Journal of Medicine》 9卷1期 (2004/03) Pp. 38-43

https://doi.org/10.6558/MTJM.2004.9(1).5

摘要

目的 鼻中膈彎曲經常伴隨慢性鼻竇炎存在。當慢性鼻炎及鼻竇炎利用內視鏡鼻竇手術來治療時，可能也需要矯正鼻中膈彎曲。如果鼻中膈彎曲的矯正能和內視鏡鼻竇手術一起進行並使用內視鏡器械，這樣手術會來得較方便。
方法 當利用內視鏡鼻竇手術來治療慢性鼻炎及鼻竇炎時，鼻中膈彎曲被評估是否會引起鼻腔鼻竇症狀，例如鼻塞，或者是否會阻撓內視鏡鼻竇手術的進行。如果上述情況存在，鼻中膈彎曲同時利用內視鏡鼻中膈整形術來矯正。
結果 收集一年內利用內視鏡鼻竇手術來治療慢性鼻炎及鼻竇炎的233個病例，其中同時利用內視鏡鼻中膈整形術來矯正鼻中膈彎曲有81例（34.8﹪）。術後，同時接受內視鏡鼻中膈整形術的75﹪病患覺得整體鼻及鼻竇炎症狀改善，而未接受內視鏡鼻中膈整形術的77﹪病患覺得症狀改善。內視鏡鼻中膈整形術的併發症包括2例鼻中膈穿孔及3例鼻中膈血腫，它們最後均未留下後遺症。
結論 伴隨內視鏡鼻竇手術施行內視鏡鼻中膈整形術能簡單有效矯正鼻中膈彎曲。

關鍵字

慢性鼻炎及鼻竇炎 ； 內視鏡鼻中膈整形術 ； 內視鏡鼻竇手術 ； 鼻中膈彎曲

並列摘要

Objectives. Septal deviation frequently coexistes with chronic rhinosinusitis. When endoscopic sinus surgery (ESS) is performed to treat chronic rhinosinusitis, it is possible that the septal deviation needs to be corrected too. Septal deviation is easily corrected simultaneously with ESS by endoscopic instruments.
Methods. When ESS was indicated to treat chronic rhinosinusitis, symptoms of septal deviation such as nasal stuffiness were evaluated to decide if they caused sinonasal symptoms, or if they precluded the performance of ESS. If one or both of the above situations existed, the septal deviation was corrected concomitantly with ESS by endoscopic septoplasty.
Results. Among 233 consecutive cases of chronic rhinosinusitis treated by ESS within a year, 81 (34.8%) received concurrent endoscopic septoplasty. After surgery, 75% of the patients who received concurrent septoplasty felt that their overall rhinosinusitis symptoms had improved, and 77% of the patients without concurrent septoplasty reported improvement. Complications of endoscopic septoplasty in this study included two cases of septal perforation and three cases of septal hematomas.
Conclusions. Endoscopic septoplasty can simply and effectively correct septal deviation when performed simultaneously with ESS.

並列關鍵字

chronic rhinosinusitis ； endoscopic septoplasty ； endoscopic sinus surgery ； septal deviation