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Nasal packing and stenting

机译:鼻腔包装和支架置入

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摘要

Nasal packs are indispensable in ENT practice. This study reviews current indications, effectiveness and risks of nasal packs and stents. In endoscopic surgery, nasal packs should always have smooth surfaces to minimize mucosal damage, improve wound healing and increase patient comfort. Functional endoscopic endonasal sinus surgery allows the use of modern nasal packs, since pressure is no longer required. So called hemostatic/resorbable materials are a first step in this direction. However, they may lead to adhesions and foreign body reactions in mucosal membranes. Simple occlusion is an effective method for creating a moist milieu for improved wound healing and avoiding dryness. Stenting of the frontal sinus is recommended if surgery fails to produce a wide, physiologically shaped drainage path that is sufficiently covered by intact tissue.
机译:耳鼻喉科在耳鼻喉科实践中必不可少。这项研究回顾了鼻袋和支架的当前适应症,有效性和风险。在内窥镜手术中,鼻腔包装应始终具有光滑的表面,以最大程度地减少粘膜损伤,改善伤口愈合并提高患者舒适度。由于不再需要压力,功能性内窥镜鼻内窥镜鼻窦手术允许使用现代鼻腔包装。所谓的止血/可吸收材料是朝这个方向迈出的第一步。但是,它们可能会导致粘膜粘连和异物反应。简单的咬合是产生湿润环境以改善伤口愈合并避免干燥的有效方法。如果手术无法产生宽阔的,生理形状的引流路径,并被完整的组织充分覆盖,则建议对额窦进行支架置入术。

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