How much is ethmoid sinusitis operation?

summary

The ethmoid labyrinth is composed of several small air chambers. Because this disease often has complications and great variation, and is located in the center of each sinuses. It is closely adjacent to the orbit and anterior cranial fossa with a thin bone plate. It is small in volume and deep in position, so ethmoid sinus surgery is performed. Now let's get to know how much is ethmoid sinusitis surgery? It's a matter of time.

How much is ethmoid sinusitis operation?

First, the head should not be too backward in sitting or semi reclining position (). The scope of operation is limited below the lateral line of bilateral inner canthus, within the vertical line of inner canthus, and outside the attachment part of middle turbinate.

Second, the ethmoidal wall was broken by straight headed ethmoidal forceps. Therefore, the bone wall is thin and easy to enter. Generally, after opening the ethmoidal chamber, mucopurulent secretions will overflow, or beaded polyps will be pulled out, and an open ethmoidal chamber can be seen in the deep part. Along this gap, the ethmoidal chamber will be gradually expanded outward, downward, and posterior. The ethmoidal chamber in the posterior group will be bitten off and the diseased tissue in the cavity will be removed until the anterior wall of the sphenoid sinus (at this time, the forceps will extend into the depth of 7.5-8 cm); The ethmoid chamber of the anterior group was occluded by the anterior, superior and external side. After ethmoidectomy, the residual mucosa and bone septum in the operation cavity were scraped off with different curved curettes to make the cavity wide, smooth and smooth.

Third: if there is a nasal polyp, first according to the nasal polyp surgery routine, it will be roughly removed. The middle turbinate can be reduced and the middle nasal meatus can be fully exposed.

matters needing attention

1. Be familiar with anatomy. We should keep in mind the "dangerous area" of the ethmoid sinus, the scope of operation and the measurement data from the anterior nostril to each part of the ethmoid sinus. We should pay attention to the depth of the bite forceps or curettes, especially for the patients who have undergone multiple operations, often the middle turbinate has been removed, and the structure of the lateral wall of the nasal cavity is not clear, The pincers should not go deep rashly. However, we should not look too hard at the measurement data, and we should grasp it flexibly according to individual differences and actual situation, so as to make the operation safe and thorough. 2. Avoid blindness. The whole operation should be performed under sufficient light. When the operation field is unclear and the structure is unclear, do not scrape or bite arbitrarily. When the vision is affected by more bleeding during the operation, the blood can be sucked away at any time with a suction device, or the cotton piece or gauze soaked with epinephrine can be kept for a while, and the operation can be continued after the bleeding stops. In order to save time, it can be operated alternately on both sides.