Simultaneous methods of surgical treatment of nose and accessory nasal sinuses pathology.

摘要

Among the servicemen the diseases of nose and accessory nasal sinus (ANS) are the predominant pathology of LOR-organs. The external causes of this pathology are the frequent viral affection of respiratory tracts, smoking, the effect of unfavorable factors of ecology and military work. The local causes are conditioned by congenital or acquired anatomical changes in the nose and ANS structures. The most frequent predisposing cause is the nasal septum curvature that influences on the nasal breathing. The surgical treatment of nose and ANS combined pathology can be conducted simultaneously or at several stages. The simultaneous operations have both positive and negative factors. The qualitative analysis based on the results of treatment of 230 servicemen with combined pathology of nose and ANS structures (divided into 5 most common combinations) permitted to propose the algorithm of surgical interventions, the adequate anesthesiology and postoperative treatment complex. All these would minimize the negative consequences of simultaneous operation on the nose and ANS structures. Some peculiarities of military service and requirements to servicemen' health make the simultaneous method of surgical treatment of nose and ANS pathology preferable.