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本篇介绍1985年1月～1987年4月,34例39侧8岁～68岁平均40岁的慢性鼻窦炎患者,行开大上颌窦自然孔为中心的一种新的鼻内手术方法及术后效果。它不同于浅井式的不作对孔的上颌窦自然孔开大法及经下鼻甲的开大自然孔的星野·木村式鼻内手术。除小儿外,原则上局麻下进行。合并鼻中隔偏曲的,术前先行鼻中隔矫正术,两侧罹患时,同时手术。用利多卡困、副肾素棉片表面麻醉,把含有副肾素的0.5％利多卡因液注射于下鼻甲前方的鼻腔侧壁的骨膜下,再阻滞麻醉蝶腭神经节。切开靠近鼻堤部的漏斗部的粘膜,延长到下鼻甲
This article describes January 1985 ~ April 1987, 34 cases of 39 patients 8 years old to 68 years old average 40 years old patients with chronic sinusitis, open maxillary sinus natural hole as the center of a new method of intranasal surgery and Postoperative effect. It is different from shallow-hole non-hole to open the maxillary natural orifice and open the inferior turbinate nasopharynx · Kimura intranasal surgery. In addition to children, in principle, under local anesthesia. Combined nasal septum deviation preoperative nasal septoplasty surgery, both sides suffering from surgery at the same time. Using a lidocaine trap and adrenaline anesthesia, a 0.5% lidocaine solution containing adrenin was injected subperiosteal of the nasal cavity wall in front of the inferior turbinate to block the anesthetized sphenopalatine ganglion. Cut the mucosa of the funnel near the nasal dike to extend to the inferior turbinate