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Wundheilung und postoperative Behandlung nach Nasennebenhöhlenoperationen

Wound healing after endoscopic sinus surgery and postoperative management

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Zusammenfassung

Kenntnisse zur physiologischen Wundheilung der endonasalen Schleimhaut nach operativen Eingriffen helfen in vielen Fällen, offensichtliche oder verborgene Probleme der Ausheilung nach Nasennebenhöhleneingriffen nachzuvollziehen und anzugehen. In der vorliegenden Übersicht werden die Grundsätze der regelhaften Wundheilung dargestellt und daraus sich ableitende, häufige klinische Probleme erläutert. Auf der Grundlage der besonderen Anatomie und Physiologie werden die Ergebnisse der Erforschung regelhafter und gestörter Wundheilungsvorgänge der respiratorischen Schleimhaut dargestellt und mögliche Konsequenzen für einen veränderten Therapiestandard diskutiert.

Abstract

Understanding the physiological concepts of wound healing after rhinologic procedures facilitates detection and management of more or less obvious problems of wound healing. In this review, the physiologic processes involved in wound healing are explained, and typical clinical constellations are presented. Based on challenges of anatomy and physiology, recent findings are summarized, and possible conclusions for managing the postoperative mucosa are drawn.

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  1. Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie der Universität Greifswald, Walther-Rathenau-Straße 43-45, 17475, Greifswald, Deutschland

    A.G. Beule & W. Hosemann

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  1. A.G. Beule
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  2. W. Hosemann
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Beule, A., Hosemann, W. Wundheilung und postoperative Behandlung nach Nasennebenhöhlenoperationen. HNO 57, 763–771 (2009). https://doi.org/10.1007/s00106-009-1938-8

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