耳鼻咽喉科領域に於ける手術後の頭痛について--特に固有鼻腔手術後の特異性

概要

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Postoperative headache in oto-rhino-laryngology was evaluated from the changes of the respiratory rate, pulse rate, the fever and blood PCO2. The data obtained one day before the operations and that of 24 hours after the operations were compaired.The operations performed were as follows; tympanoplasty, submucous resection (SMR), conchotomy, turbinectomy, tonsillectomy, polysinuectomy, maxillostomy, extirpation of nasal vestibular cyst and laryngo micro surgery.Ninety-seven percent of the patients who complained post-operative headache were due to postoperative nasal obstruction. In these patients SMR, conchotomy and turbinectomy were performed. Eighty-four percent of the patients after SMR and seventy-four percent of the patients after concho-turbinectomy complained postoperative headache. In fifty percent of the patients after polysinuectomy complained headache but in these cases SMR, conchotomy and turbinectomy were also performed. In tonsillectomy and maxillostomy, eight percent of the patients had postoperative headache. Headache was not complained in patients after tympanoplasty and laryngo-micro surgery.Analysis of the changes of the respiratory rate, pulse rate, fever and blood PCO2, showed that the patients complained postoperative headache had respiratory excitation.We concluded that headache after nasal operations were caused mainly from the postoperative hyperventilation.
社団法人日本耳鼻咽喉科学会の論文