maxillary sinus ostomy

Upper sinus ostomy is a surgical treatment for maxillary sinus occlusion caused by maxillary sinusitis. Treatment of diseases: chronic maxillary sinusitis, maxillary sinus malignancy, preoperative preparation Regular use of antibiotics. Surgical procedure 1. General anesthesia or local anesthesia. 2. After disinfecting the skin and covering the disinfectant towel, fill the nostrils with cotton pads containing hemostatic and anesthetic ingredients. 3. Open a 2X2 CM opening with a callus and chisel at the canine fossa, thereby clearing the diseased tissue in the maxillary sinus. 4. Remove the anesthesia cotton and make a stoma on the inside of the maxillary sinus. Connect the nasal cavity under the inferior turbinate. 5. Through the stoma, the catheterized distal end of the catheter is inserted into the maxillary sinus and inflated to stop bleeding, and the rear end is extended outside the nasal cavity. 6. Stop bleeding and suture the wound in the gingival sulcus. complication 1. Postoperative bleeding (0.4~2.9%). 2. Facial edema (61.9%, self-absorption after a few weeks). 3. Pain and numbness of the face or teeth (46%, transient, a few people will last more than a month). 4. Oral and maxillary sinus fistula (oroantral fistula, very few, about 0.4%). 5. Injury to the muscles and eyeballs around the eye frame, or cause the hematoma in the eye frame to oppress the optic nerve (the incidence is extremely small). 6. Irritation of tears or tooth damage (very few, 0.4%).