[Transnasal, endoscopical sinus surgery for chronic sinusitis. II. Endonasal operation of the maxillary antrum (author's transl)].
Basing on a biomechanical concept of the surgical rehabilitation of the paranasal mucosa, technique and results of 357 endonasal antrostomies are reported. Particular features were: 1) The establishment of large window in the inferior meatus; with an additional window in the middle meatus, if diffuse polyposis was present. 2) The preservation of the parietal mucosa, while polyps and cysts were removed. 3) The use of a new suction-irrigation-endoscope for optical control. - While satisfactory results were achieved in percentages, at least equalling those of the Caldwell-Luc procedure, the absence of both severe complications and postoperative discomfort classifies the described technique as superior to the transoral approach of Caldwell-Luc. Its indications for all forms of chronic maxillary sinusitis are emphasized.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008443:Maxillary Sinus / Q000601:surgery*; D008875:Middle Aged; D009298:Nasal Polyps / Q000175:diagnosis / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012852:Sinusitis / Q000175:diagnosis / Q000601:surgery*
Transnasale, endoskopische Chirurgie der Nasennebenhöhlen bei chronischer Sinusitis. II. Die endonasale Kieferhöhlen-Operation.