Maxillary Antrostomy

Endoscopic Sinus Tiyata

Maxillary Antrostomy

Har ila yau aka sani da: endoscopic tsakiyar meatal maxillary antrostomy, tsakiyar meatal antrostomy

Maxillary antrostomy yana da hanya mai mahimmanci don fadada budewa (ostium) na sinus na maxillary. Wannan yana ba da izini don ƙarawa mai mahimmanci a cikin kofar maxillary sinus da kuma ingantaccen gurbin sinus. Maxillary antrostomy an yi shi tun daga tsakiyar shekarun 1980 kuma yana da kusantar kusantar da kai idan kana da sinusitis na yau da kullum wanda ba shi da amsa ga sauran hanyoyin kiwon lafiya.

A wannan yanayin hanya tana cikin ɓangaren aikin tiyata na endoscopic wanda zai iya kasancewa zaɓinku mai kyau mafi kyau. Harkokin lafiya na likita sun haɗa da gwajin kwayoyin (3-6 makonni), steroids nas, da kuma saline irrigations.

Binciken Binciken Sinusitis

Kafin yin jurewa na sinus, likita zai so ya tabbatar da sinusitis na yau da kullum tare da CT scan. Rahotanni X ba a yuwuwa ba ne, don kawai suna iya nuna cutar sinus da kuma taƙaitaccen bayani game da wasu matakan sinus na hanci. CT duba ba kawai zai nuna mummunan maxillary sinus ƙonewa ba, amma zai samar da likitan ku da wannan muhimmin bayani:

• matsayin matsayi na nasolacrimal
• tsari mara kyau - wanda shine muhimmin ɓangare na aikin kwalliya
• Girma daga ƙananan ƙwaƙwalwa
• Tsarin iska da ruwaye a cikin cavities sinus
• polyps
• ƙuntataccen hadadden ƙwayar cuta - yana hana magudanar sinus maxillary

Duk da yake wannan ƙwararren likita ne, duk wannan bayanin zai ba likitan ku da bayanan da ake buƙata don a shirya ku sosai.

Ƙungiya mai mahimmanci ta ƙunshi sassa huɗu na ƙananan hanyoyi:

• tsari mara kyau - shine kashi na L wanda za'a cire
• maxillary ostium (buɗewa na maxillary sinus)
• shafin yanar-gizon - tashar mai tasiri a cikin hanci
• ethmoid bulla - daya daga cikin 'yan adawa

Shiri na Endoscopic Sinus Tiyata da Maxillary Antrostomy

Kafin aikin tiyata, za a umarce ka da ba za ku ci ko sha daga tsakar dare ba rana ta tiyata sai bayan an yi aikin tiyata.

Wannan zai taimaka wajen hana haɗari don ƙin ciki na ciki (fata). A cikin wuri na farko, za a iya ba ka kyautar nasin Afrin don ƙaddamar da hanyoyi na nassi don taimakawa wajen kara yawan ganuwa yayin aikin tiyata. Da zarar anesthetized, za ka iya samun gauze a cikin Afrin ko cocaine mai amfani da aka yi amfani da shi a cikin hanci don kara inganta halayen idan ya cancanta.

A lokacin Maxillary Antrostomy

Akwai manufofi guda uku da likitanku za su yi ƙoƙarin cim ma a yayin da ake amfani da Antrostomy maxillary

1. Cire tsarin da ba shi da kyau
2. Gano hanyar budewa cikin sinus maxillary
3. Yada faɗar budewa cikin sinadarin maxillary
4. Cire polyps daga cikin iyakoki na maxillary sinus

Yana da muhimmanci cewa likitanku ya cire tsarin da ba shi da kyau a farkon hanya domin ganin yadda maxus na sinus ya buɗe. Idan ba a bude sinus kuma an bude sabon bude ba, za a iya sake yin amfani da tsabtace sinus, inda magudi ya fito da wani bude kuma ya sake shiga cikin ɓangaren sinus a cikin sauran budewa.

Bayan samun Maxillary Antrostomy

Bayan kammala aikin ku, za ku farka a cikin sashin kula da aikin rigakafi (PACU). A can za a kula da ku don zub da jini, tashin zuciya (wanda zai iya faruwa idan an haɗi jini), ko wasu matsalolin da za a iya samu daga tiyata.

Bayan haka za ku bi likita tare da likitanku tsakanin kwanaki 3 zuwa 5 don a cire cirewa na ƙanananku. Dangane da nasarar da kuma idan kuna da sauran alamun bayyanar zai gano abin da ake gwadawa a yayin da ake aikin tiyata.

Risks da aka haɗa da Maxillary Antrostomy

Baya ga hadarin da ke tattare da wani aikin tiyata wanda ake buƙatar maganin rigakafi, maxillary antrostomy yana da abubuwan haɗari masu zuwa:

• rauni ga yanki a kusa da ido (ciwo kobital)
• makanta
• Nasaralacrimal Duct rauni
• hanci (epistaxis)
• ruwan sanyi (CSF) rhinorrhea
• meningitis

Baya ga hanci , mafi yawan abubuwan da aka lissafa a baya sune mahimmanci.

Maxillary antrostomy shi ne hanya na kowa, duk da haka, waɗannan sune abubuwan haɗari masu haɗari. Yawancin waɗannan dalilai suna da alaka da kayan aikin da ake amfani dashi kamar microdebrider , wanda kuma yana da lafiya kuma yana da matsala kadan. Duk da haka halayen haɗarin da aka lissafa a sama suna da kyau sosai, don haka kayi zabi kowane mai amfani ENT don yin aikin.

_Sources:

_{Chiu, AG & Palmer, JN (2013). Atlas na Endoscopic Sinus da Tashin Kwancen Tushe, Babi na 8: Maxillary Antrostomy. Shafuka 65-74.}

_{Patel, A., Vaughan, WC & Meyers, AD (2015). M Jiya na Gini Maxillary Sinusitis M Overview.}