The full procedure for pterygoid sinusitis surgery is as follows:
After completion of general anesthesia, routine disinfection of the toweling and mucosal constriction of the nasal operative area with epinephrine saline cotton face or gauze was performed. The posterior-inferior portion of the upper turbinate was excised to fully visualize the pterygoid sieve fossa. The natural opening of the pterygoid sinus was sought at the pterygoid sieve fossa, which was located in the middle and upper 1/3 of the anterior wall of the pterygoid sinus, about 1 to 1.5 cm from the upper edge of the posterior nostril.
The natural opening should be explored with a peeler or a probe. If the opening of the pterygoid sinus is well opened and the mucosa inside the sinus is smooth, it can be left unenlarged, and the inflammatory secretions inside the sinus can be removed from the natural opening; if the mucosal lesions are obvious, it can be resected and enlarged downward and outward along the natural opening, and the inflammatory lesions inside the sinus can be removed, and then the hemostasis can be fully stopped in the operative area. Absorbable hemostatic material is used to fill the opening of the pterygoid sinus.
After the patient awakens smoothly, return to the ward.