Maxillary sinus surgery sequelae

Our nose is composed of many parts, and the maxillary sinus is one of them. The maxillary sinus is distributed on both sides of the nose. The nose is also a fragile place and is prone to inflammation, such as sinusitis, maxillary sinus cysts, nasal polyps, etc. Maxillary sinus cysts are formed when the mucous glands in the sinus mucosa are blocked, secretions in the glands are retained, or due to inflammation, serous fluid retention and swelling occurs. They require surgical removal. Currently, the surgeries for this type of maxillary sinus cysts are all cyst removal, which generally does not have any sequelae and is a minimally invasive surgery.

The maxillary sinus is a conical cavity inside the maxillary bone. The sinus wall is made of bone, most of which is a thin compact bone plate with a little cancellous bone inside. The thinnest part is only compact bone. The sinus wall is directly covered with mucosa, and the blood vessels and nerves that control the teeth and periodontal tissues pass through the alveolar canal in the bone or under the mucosa.

The sinuses are air-filled bony cavities surrounding the nasal cavity. There are four pairs of sinuses: the frontal sinuses, sphenoid sinuses, ethmoid sinuses, and maxillary sinuses. There are sinus openings connected to the nasal cavity, and inflammation is prone to occur when drainage is not smooth.

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1.0cm to avoid damaging the nasolacrimal duct. The use of a nasal endoscope can clearly observe the situation inside the sinuses. Opinions and suggestions: Since the introduction of nasal endoscopic surgery, it has alleviated the pain of patients, but there are indeed some complications, such as postoperative bleeding, infection, cerebrospinal fluid rhinorrhea, eye complications and nasal adhesion symptoms. Nasal adhesions are mostly caused by surgical damage to the nasal septum mucosa and failure to clean and rinse the nasal crusts and secretions in the nasal cavity in time after surgery. Generally, the nasal secretions are cleaned on the first day after the removal of nasal packing, and the nasal cavity is cleaned and rinsed under the endoscope on the second day. The nasal cavity is rinsed once a day within 1 week after surgery, and once a week after 1 week. The rinsing method must be correct, and nasal irrigation must be insisted on for more than 6 months after surgery, otherwise it is easy to cause adhesion and occlusion of the surgical cavity. When the patient is discharged from the hospital, he should be advised to insist on nasal irrigation.

Come to the hospital for regular check-up and follow-up. The patient may have slight nasal adhesion caused by nasal crust and secretions, which is a minor complication and has nothing to do with the surgical technique. Daily care: Perform nasal irrigation once a day within 1 week after surgery, and change to once a week after 1 week. The irrigation method must be correct. Continue to rinse the nasal cavity for more than 6 months after surgery, otherwise it is easy to cause adhesion and occlusion of the surgical cavity. When the patient is discharged from the hospital, he should be advised to continue to do nasal irrigation, come to the hospital for regular check-up and follow-up.

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