KRJUKOV ANDREJ IVANOVICH,Крюков Андрей Иванович,TSARAPKIN GRIGORIJ JUREVICH,Царапкин Григорий Юрьевич,FEDOTKINA KIRA MIKHAJLOVNA,Федоткина Кира Михайловна,CHUMAKOV PAVEL LEONIDOVICH,Чумаков Павел Леон
申请号：
RU2014111866/14
公开号：
RU0002558993C1
申请日:
2014.03.28
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to otorhinolaryngology, and is applicable for the surgical management of chronic maxillary sinusitis. A piriform crest is hydroseparated under endotracheal anaesthesis. An incision extends from an attachment point from an anterior end of an inferior nasal concha to a base of an anterior nasal spine. Soft tissues are separated in the subperiosteal direction in an inferior nasal passage and from a facial wall of a maxillary sinus throughout 0.2-0.5 cm. An oval opening of 0.3-0.5 cm is formed in a facial and lateral wall of the maxillary sinus in the direction of 45 degrees. Cutters are used to enlarge the opening up to the attachment point of the anterior end of an inferior nasal concha. The sinus is inspected under control of an endoscope. Microinstruments are used to evacuate the pathological content from the sinus through the above opening. The symmetrical tissues are aligned. The incision is closed with 2 sutures. On the 2nd and 4th days, the sinus is irrigated. On the 7th day, the stitches are taken out.EFFECT: method enables increasing the quality of management, reducing the length of staying in hospital and the number of postoperative complications and recurrences, and also provides a wide approach to the maxillary sinus ensured by making a small incision within the piriform crest, using the cutters, inspecting the sinus by means of the endoscope, and evacuating the sinus content by means of the microinstruments.2 exИзобретение относится к медицине, а именно к оториноларингологии, и может быть использовано для хирургического лечения хронических верхнечелюстных синуситов. Под эндотрахеальным наркозом проводят гидроотсепаровку области грушевидного гребня. Проводят разрез от места крепления переднего конца нижней носовой раковины до основания передней носовой ости. Распатором поднадкостнично проводят отсепаровку мягких тканей в нижнем носовом ходу и от лицевой стенки верхнечелюстной пазухи 0,2-0,5 см.
