Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1374
6
1
gregorian
1995
9
1
2
تابستان
online
1
fulltext
fa
جراحی آندوسکوپیک سینوسهای پارانازال روشی نوین در درمان بیماریهای بینی و سینوس ها، گزارش 200 مورد
FUNCTIONAL ENDOSCOPIC SINUS SURGERY REPORT OF 200 CASES
گوش و حلق و بینی
ENT
موردنگاري
case report
<p style="DIRECTION: rtl" align="right"> مقاله زیر حاصل مطالعه ای آینده نگر برروی 200 بیمار است که به علت درگیری پاتولوژیک بینی و سینوسهای پارانازال تحت عمل جراحی آندوسکوپیک قرار گرفته اند. پارامترهای مورد مطالعه به غیر از جنس و سن بیماران بطور عمده شامل : شایعترین علل مراجعه بیماران به پزشک، طول مدت بیماری قبل از جراحی آندویکوپیک، سابقه اعمال جراحی قبلی روی بینی و سینوسها، بررسی عوامل زمینه ساز و بخصوص پرداختن به اهمیت تنوعات آناتومیک بینی و سینوسها در بروز بیماری و التهابات سینوسها می باشد. در این مطالعه همچنین روشهای جراحی آندوسکوپیک بکار رفته در بیماران و یافته های هیستوپاتولوژیک ناشی </p><p style="DIRECTION: rtl" align="right">ازنمونه برداری حین عمل و سرانجام نتایج حاصله از پیگیری4 ماهه تا 18 ماهه بیماران از نظر میزان بهبودی تحت بررسی قرار گرفته که نشان دهنده 88/95% بهبودی در بیماران ما بوده است و در مقام مقایسه با آمارهای گزارش شده از مراکز شناخته شده جهانی در خور توجه می باشد. </p><p> </p>
<div style="mso-element: frame mso-element-frame-width: 336.2pt mso-element-frame-height: 5.2in mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt"><tbody><tr><td style="BORDER-BOTTOM: #f0f0f0 BORDER-LEFT: #f0f0f0 PADDING-BOTTOM: 0in BACKGROUND-COLOR: transparent PADDING-LEFT: 0in PADDING-RIGHT: 0in BORDER-TOP: #f0f0f0 BORDER-RIGHT: #f0f0f0 PADDING-TOP: 0in" height="499" valign="top" align="left"><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 17pt TEXT-INDENT: 15.6pt MARGIN: 0.45pt 2.4pt 0pt 1.2pt mso-element: frame mso-element-frame-width: 336.2pt mso-element-frame-height: 5.2in mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">The application of functional endoscopic sinus surgery (FESS) for treatment of chronic paranasal sinus diseases had become widely accepted. The diagnostic and therapeutic potential provided by transnasal endoscopic approach has allowed us to manage </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 11pt">a </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">variety of disorders other than inffammatory diseases of the nasal cavity and paranasal sinuses. In this prospective study indications, complications and results of FESS in 200 patients is reported. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 17pt TEXT-INDENT: 15.6pt MARGIN: 0.45pt 2.4pt 0pt 1.2pt mso-element: frame mso-element-frame-width: 336.2pt mso-element-frame-height: 5.2in mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">The pathologic conditions that necessitated surgical intervention were: chronic sinusitis with or without polyposis </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 113%">(88.5 </span><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 106%">%), </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">antrochoanal polyp(2.97%), inverting papifoma(1.78 </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt">%), </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">hemangioma(1.19 </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt">%) </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">and meucocele of maxillary sinus (0.59 </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt">%). </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">The operative metod was mainly based upon the Messer klinger technique. Major complications occurred only in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 109%">%59 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">namely postoperative hemorrhage which was easily controlled. Minor complications occured in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt mso-font-width: 105%">8% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of cases that include, periorbital hematoma </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 106%">(1.19 </span><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9pt">%) </span><i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 5.5pt mso-font-width: 83%">r </span></i><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">obstruction of the maxillary sinus ostium (1.78%), and synechia between middle turbinate and lateral nasal wall </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 113%">(5.16 </span><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9pt">%) </span><i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 5.5pt mso-font-width: 89%">s </span></i><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">which were almost entirely repaired during the post operative follow up. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 17pt TEXT-INDENT: 15.6pt MARGIN: 0.45pt 2.4pt 0pt 1.2pt mso-element: frame mso-element-frame-width: 336.2pt mso-element-frame-height: 5.2in mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">6-24 month follow ups of our patients revealed </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 10.5pt">a </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">total recovery of rate of </span></i><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 113%">95.88 </span><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 9.5pt mso-font-width: 92%">%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">which is comparable to the results of FESS in well know centers through the world . <p></p></span></i></p></td></tr></tbody></table></div>
1- جراحی آندوسکوپیک 2- سینوس های پارانازال
1) Endoscopic surgery 2) Paranasal sinus 3) FESS
127
138
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1215&slc_lang=fa&sid=1
M.
Farhadi
محمد
فرهادی
3900319475328460021015
3900319475328460021015
Yes
M.
Moshrefi
مینو
مشرفی
3900319475328460021016
3900319475328460021016
No