The emergence of nasal endoscopic technology is undoubtedly the most glittering event in the developmental milestones of modern rhinology. Functional nasal endoscopic surgery is a new technology on the rise of nasal surgery, which has emerged only 20 years ago, changing the traditional destructive surgery of radical partial or total removal of sinus mucosa into a functional surgery that preserves as much as possible the normal mucosa and structures of the nasal cavity and sinuses on the basis of complete removal of the lesions according to the extent of the lesions, so that the morphology and physiological functions of the nasal cavity and sinus mucosa are restored.
This technique is flourishing in the world because of its light damage and good efficacy. The emergence of nasal endoscopic technology has not only enriched the diagnostic means of rhinology and expanded the scope of disease treatment in this discipline, but also changed the concept of disease treatment, which is the essence of minimally invasive surgery theory and the value of nasal endoscopic surgery.
Accurate diagnosis, mastering the indications for surgery and formulating a thorough treatment plan are the first in nasal endoscopic surgery treatment.
With the maturity of nasal endoscopic surgery technology, physicians can observe the potential small cavities and areas of the nasal cavity and sinuses under direct vision, which makes nasal surgery more accurate and safe, and provides objective guarantee for exploring more difficult surgery. As the application of nasal endoscopic surgery continues to expand, it involves not only general nasal diseases, but also such as benign nasal tumors, nasal neurosurgery, and nasal and eye-related surgery. With its own advantages, nasal endoscopic surgical techniques have shown vigorous vitality.
However, like other technologies, nasal endoscopic surgery technology is not a universal treatment for all diseases. Doctors should master the indications for the surgery and should not blindly expand the indications from the doctor’s perspective. When developing a treatment plan for a patient, careful consideration should be given to whether “the doctor needs it or the patient needs it”. This proposition requires in-depth consideration by every medical practitioner, both in terms of scientific attitude and medical ethics. Although there are limitations in the development of science and technology at different times and in different generations, there is almost always a price to be paid by the patient in the exploration of medical behavior, but objectively speaking: without exploration there would be no medical progress today. But this cost is not at the expense of the patient.
It is easy for doctors to use various excuses to make patients act according to their opinions. That is why it is very important to fully implement the principles of autonomy, optimization, and respect from the medical humanities level. First of all, the medical side should take the initiative to provide a lot of information, suitable environment and necessary conditions to ensure the full exercise of the patient’s sovereignty. As a physician who meets the requirements of professional ethics, he/she should make the cure of the disease as the medical purpose and should not perform the surgery indiscriminately for his/her own surgical needs. Secondly, it is necessary to prudently implement the principle of optimizing the evidence for different patients, and to develop a treatment plan that harmonizes scientific rationality and humanistic rationality for patients. Finally, in the whole medical behavior, medical staff should respect patients and their families, not only see the “disease” but not the “person”, and treat patients as equal and dignified people with themselves.