Zusammenfassung
Die funktionelle endoskopische Nasennebenhöhlenchirurgie ist das minimalinvasive
chirurgische Standardverfahren zur operativen Behandlung von Patienten mit
chronischer Rhinosinusitis. Sie verfolgt das Grundprinzip, die Erkrankung in den
NNH zu entfernen und dabei möglichst gesunde Schleimhaut sowie funktionell
relevante Strukturen zu schonen. In dieser Übersicht werden Operationsverfahren,
Ausstattung, Komplikationen und ihr Management erläutert.
Abstract
Functional endoscopic sinus surgery (FESS) is the minimal-invasive standard
procedure for surgical treatment of patients with chronic rhinosinusitis. FESS
follows the principle to remove all pathologies within the paranasal sinuses
while sparing normal mucosa and all functionally relevant anatomical structures.
To understand the functional integrity and the principles of FESS, it is
important to have fundamental knowledge of the anatomy of the paranasal sinuses,
especially of the orifices to the different sinuses. Normally based on a
computed tomography of the paranasal sinuses in two section planes, the FESS
surgeon has to reproduce the individual anatomy and to plan the individual
extent of the FESS. The severity of the disease and the extent of surgery can be
classified. In this review the knowledge to be known by an otorhinolaryngologist
is reflected and the main steps of FESS are explained. The equipment will be
described. Typical complications of FESS and complication management will be
elucidated.
Schlüsselwörter
Nasennebenhöhlenchirurgie - Endoskopie - Functional endoscopic sinus surgery - FESS
Key words
Sinus surgery - Functional endoscopic sinus surgery - FESS
