engleski

Nasal douching after endoscopic sinus surgery.

Background:Functional endoscopic sinus surgery is a minimally invasive procedure used to restore sinus ventilation and normal function. It is redommended for the patients who have reccurent acute or chronic infective sinusitis, nalas polyposis, fungal sinusitis, tumors and others. Postoperative nasal mucosa healing in highly coordinate procedure which involves coagulation phase, blood clot formation, inflammation, tissue creation and remodeling. Duration of a certain healing phase can be shortened, or prolonged depending on postoperative care. Disorder of sinonasal respiratory mucosa healing causes the development of infection or scar formation. Infection with additional mucosa destruction, excessive granulation and connective tissue hyperplasia can slow down the epithelization. Crusts or clots can capture the mucus and cause reinfection. Old blood can be a bacterial growth medium. This is the reason why the local toilette of the postoperative wound is important. Methods: Regular wound cleaning prevents propagation of pathogenic bacteria thus preventing infection of the wound. In this presentation we follow patients postoperative wound healing after nasal douching. Results: Postoperative nasal douching makes mechanical effect of washing and creates a physiological environment. Conclusion: Proper postoperative non-suppresive care is important in healing of the mucous membrane so that it is part of the endoscopic sinus surgery.

Nasal douching, endoscopic sinus surgery, postoperative care

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