Balloon -catheter usage in maxillary sinus surgery: Case report

Abstract

Introduction: The postoperative drainage and the postoperative bleeding from maxillary sinus cavity have been controlled after functional sinus surgery. It has usually been done using the band of iodize gauze squeezed through the temporary opening in the vestibular mucosa or through the inferior meatal antrostomy. The aim of this study was to present the use of balloon-catheter in maxillary sinus surgery intendend for control of postoperative drainage and bleeding. Case report: Balloon-catheter was used in one female who was treated for anemia after chemotherapy and with allergy to iodine. It was inserted into the sinus cavity through the temporary inferior meatal antrostomy and removed five days after surgery without any postoperative discomforts and complications especially in this risk group of patients. Conclusion: The balloon-catheter surgery method used in risk group of patients improved the quality of postoperative period without significant complications.

Uvod: U postoperativnom periodu, posle revizije sluzokože maksilarnog sinusa, potrebno je obezbediti odgovarajuću drenažu i kontrolu mogućeg postoperativnog krvarenja. To se najčešće se izvodi trakom jodoform gaze koja se izvlači kroz privremeno načinjen otvor na sluzokoži forniksa suprotne strane ili kroz trajni otvor u donjem nosnom hodniku. Cilj ovog rada je bio da se prikaže primena balon-katetera radi postoperativne drenaže maksilarnog sinusa i kontrole postoperativnog krvarenja. Prikaz bolesnika: Ovaj postupak je urađen kod osobe ženskog pola, prethodno lečene hemioterapijom, sa prisutnom anemijom i alergijom na jod. Balon-kateter je plasiran u sinusnu šupljinu kroz arteficijelno učinjen otvor u donjem nosnom hodniku, a zatim je primarno zarastanje operativne regije osigurano pojedinačnim i madrac šavovima. Postoperativni tok je protekao uredno. Balon-kateter je uklonjen petog postoperativnog dana. Zaključak: Zapaženo je da primena balon-katetera značajno utiče na kvalitet postoperativnog toka, bez izazivanja postoperativnih komplikacija, i to posebno u rizičnoj grupi pacijenata.