["对鼻的"激进"与"功能"手术-一个矛盾吗?]
Rainer K Weber1,2, Tanja Hildenbrand3, Thomas Kühnel4
1Sektion Nasennebenhöhlen- und Schädelbasischirurgie, Traumatologie, Klinik für Hals‑, Nasen- und Ohrenheilkunde, Städtisches Klinikum Karlsruhe, Moltkestraße 90, 76133, Karlsruhe, Deutschland. rainerweber@rainerweber.de.
HNO
|October 25, 2023
概括
功能性和激进的鼻外科手术概念现在是整合的,而不是相互排斥的. 现代技术允许根据精确的手术前诊断进行量身定制的方法,以获得最佳的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 从历史上看,功能性和激进的鼻外科手术被视为不同的和不相容的程序.
- 本概述探讨了这些外科术语和技术的基本原则.
- 它的目的是为临床上有意义的指示开发综合的外科概念.
研究的目的:
- 为了澄清功能性和激进的鼻外科手术的定义和基本原则.
- 探索在鼻外科手术中外科概念的演变.
- 建立一个框架,将这些概念应用于相关的临床场景.
主要方法:
- 使用PubMed和相关教科书进行了全面的文献审查.
- 分析包括关于功能性,激进性和扩展性鼻外科手术的二级文献.
- 此外,研究人员还检查了关于鼻手术临床相关指示的当前文献.
主要成果:
- 现代对病理生理学,内镜技术和技术的理解使得功能性和激进/扩展鼻手术的结合成为可能.
- 这些方法是互补的,并且可以重叠.
- 术前诊断对于确定手术的范围和具体情况至关重要.
结论:
- 综合性外科概念现在融合了功能性和激进的鼻外科手术.
- 手术的范围从创建排水通道到完全去除病理过程.
- 精确的手术前诊断指导了手术策略和细节的选择.
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