Treatment of maxillary sinus puncture children _3189

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Treatment of maxillary sinus puncture in children
 
 
[Paper Keywords] maxillary sinus puncture; children; psychological intervention   [Abstract] Objective: To analyze the major complications of maxillary sinus puncture of children and prevention. Methods: A retrospective analysis of 996 cases of maxillary sinus puncture and treatment of children, complications. Results: Children completed puncture, with no complications. Conclusions: preoperative psychological intervention to prevent the accident and full preoperative preparation, have rigid rules, and postoperative condition observation, explain precautions to reduce the fear of children is to prevent complications of maxillary sinus puncture of children to ensure treatment effective measures.     Maxillary sinus puncture in the diagnosis and treatment of chronic maxillary sinusitis, a basic medical tool is both simple and there are different degrees of ENT dangerous and effective treatment for common concurrent disease is syncope, occasional nose bleeding, allergic and other complications, because of fear, afraid of the pain and other psychological factors, 5% to 10% of patients to refuse treatment, and more common in children. Our department in January 2003 ~ May 2008 line of maxillary sinus puncture and 2867 cases, including 996 cases of children, children's group completed the puncture, with no complications; strengthening of preoperative psychological intervention to prevent the accident and full preoperative preparation , have rigid rules, and postoperative condition observation, explain precautions to reduce the fear of children is to prevent complications of maxillary sinus puncture of children to ensure that effective treatment measures. Clinical data    1 996 cases in this group, of which 563 cases were male, female 433 patients, aged 7 to 14 years, average 11.7 years old. Full line of chronic maxillary sinusitis maxillary sinus puncture, puncture of which 855 cases of unilateral, bilateral puncture in 141 cases, 475 cases the first puncture, puncture 321 again.   2 puncture method  first with a 1% dip a piece of cotton Ephedrine contraction of the inferior turbinate and the nasal mucosa, and then dip a cotton swab with 1% tetracaine into the lateral wall of inferior meatus from the inferior turbinate 1.0 ~ 1.5 cm attached to the front-end parts, anesthesia 10 ~ 15 min. Operator holding the needle, needle bevel towards septum, stretching from the front under the nose, nostrils, tip the direction of the eye to the ipsilateral outer canthus, slightly penetrating force crowds to bone wall, was core needle, syringe access, check for air or pus Withdrawing confirmed that indeed the sinus tip, then slowly injected into 25 ~ 30 ℃ saline wash, rinse pus after injection of anti-infective drugs, such as metronidazole rinse solution. Washing is completed, place the cotton ball before the nostrils to prevent bleeding. Every 5 to 7 days of treatment 1, treatment 1 to 3 times.  2.1 puncture preparation  2.1.1 amiable psychological intervention to children and their families, explain in detail the anatomical location and the maxillary sinus puncture, and explains the purpose of puncture, the steps, with the method; to announce before the topical puncture anesthetic, puncture only mild pain, can be tolerated; this surgery in children with possible scenarios, such as bleeding or needle flow, and this is normal, the nurse can accurately handle. Children and their families to make clear, thoroughly publicize knowledge about the disease, so understanding to improve confidence in children, reduce their panic.  2.1.2 preoperative preparation of patients asked in detail about whether the past history of allergies, history of syncope, be aware of special children. Puncture 30 min before the best of nutritious meals, take a break after the puncture.  2.2 puncture  2.2.1 psychological intervention and psychological intervention to master the correct needle puncture with the children feel comfortable. Puncture can be taken when operating side edge method of conversation, distributed children's attention. Blindfolded with a disinfectant towel in the eyes of children, reduce tension and anxiety. Needle into the inferior turbinate attachment, if the children with no strange feeling, the tip pointing to the direction of the ipsilateral extraocular shame, rapid penetration and success of this aspiration in children, let children relax, soothe patients nurses can hand shoulder ,You are not allowed to view links. Register or Login, Zhu Huanzhe mouth breathing, the body slightly forward, to wash, you can accompany your family to reduce tension in children, so that children feel secure. Strict rules, the operator operating points and techniques to master, action, light, steady, accurate and to ensure treatment safety.