Referate pp 61-102 | Cite as

Komplikationen entzündlicher Nasennebenhöhlenerkrankungen einschließlich iatrogen bedingter Komplikationen

  • H. Stammberger
Conference paper
Part of the Verhandlungsbericht der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie book series (VBDG HNO, volume 1993 / 1)

Zusammenfassung

Auch wenn die Themensetzung in erster Linie die entzündlich bedingten Komplikationen im Bereich der vorderen Schädelbasis ist, erscheint es doch geboten, die von den Nasennebenhöhlen ausgehenden orbitalen Komplikationen nochmals kurz zu besprechen. Nicht nur bestehen oft fließende Übergänge von orbitalen zu frontobasalen und intrakraniellen Komplikationen, auch die Läsionen des Sehnerven verlangen eine Auseinandersetzung mit der Orbita und ihren angrenzenden Strukturen. Angesichts der zunehmenden Häufigkeit endonasaler Eingriffe erschien es sinnvoll, auch die direkt und indirekt iatrogen ausgelösten Komplikationen zu besprechen und — soweit möglich — Konzepte zu deren Vermeidung aufzuzeigen. Potentielle Gefahren, welche durch die Verwendung allogener und sonstiger Fremdmaterialien für Diagnose und Therapie entstehen können, finden nur kurze Erwähnung, da sie im wesentlichen Themen des letztjährigen Hauptreferates waren; zum Teil werden sie auch — wie z.B. die Spätkomplikationen durch Verwendung von Histacrylkleber an der Schädelbasis — von anderen Referenten besprochen (Kapitel Draf, S. 105ff.). In einem eigenen Kapitel vorgestellt dagegen werden die Möglichkeiten und die — bei korrekter Anwendung — geringen Komplikationen der intrathekalen Anwendung von Natriumfluoreszein bei der Lokalisation und Versorgung von Liquorfisteln. Ein Kapitel über persönliche Techniken zur endoskopisch-chirurgischen Versorgung von Liquorfisteln und Meningoenzephalozelen sowie zur endoskopischen Technik der Opticus-und Orbitadekompression runden das Thema ab. Es möchte als Beitrag zu einer heute in vielen Fällen möglichen „minimal invasiven“, den Patienten nur gering traumatisierenden, vom HNO-Chirurgen durchführbaren Technik verstanden sein.

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • H. Stammberger
    • 1
  1. 1.Klinische Abteilung für allgemeine HNO, Kopf- und HalschirurgieHNO-Universitäts-KlinikGrazÖsterreich

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