Experiences with rhinomicrosurgery.
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概要
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Surgical methods (instruments and techniques), surgical anatomy and indications for rhino-microsurgery are described. A self-retaining retractor speculum facilitates bimanual operation under a microscope. Microsurgery proved to be very useful for attaining magnification, safety and selective surgery as well as avoiding extranasal operations. The relationship between the viewing axis of the microscope and the patient's head is important to determine the fields of operation. As landmarks for opening the sinuses, we used the anterior wall of the sphenoid sinus, the funnel of the orbit and the posterior end of the middle turbinate. The microscopic intranasal operation, being safe and cosmetically excellent, is appropriate for treating the most posterior part of the sinuses.
- 耳鼻咽喉科臨床学会の論文
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