Maxillary sinusitis surgery is generally referred to as open maxillary sinus surgery, the full procedure of which is described below:
After general anesthesia is completed, routine disinfection of the drapes and preparation of surgical instruments and equipment such as nasal endoscopes and nasal power planing systems are performed. Mucosal constriction was performed in the nasal cavity with cotton pads and gauze infiltrated with epinephrine saline. The inferior turbinate fracture on the operative side was displaced externally. 0 degree endoscopy was performed, and the mucosa and middle portion of the leptomeninges were peeled off and pressed internally with a leptotome cutter, and then resected after the cephalic and caudal ends of the leptomeninges were occluded using a biting forceps.
The 70-degree endoscope was replaced to reveal the natural opening of the maxillary sinus, and a nasal power planing system was used to enlarge the sinus opening and modify the mucosa, and to remove the inflammatory hyperplastic tissue in the sinus. After examination of the lesions were all excised, complete hemostasis was managed. Absorbable filling material was used to fill in the surface of the middle nasal tract trauma with swelling hemostatic material.
After the patient was safely awakened, he was transferred back to the ward.