INVESTIGATION OF WOUND-HEALING AFTER PARANASAL SINUS SURGERY WITH TIME-LAPSE VIDEO - A PILOT-STUDY

We describe a new method of documentation of the dynamics of the natur e of wound healing after endonasal paranasal sinus surgery. This was n ot possible until now and is achieved by the computer-assisted interpo lation known as morphing. We evaluated six patients with chronic polyp oid sinusitis of similar extent who underwent 12 complete endonasal mi cro-endo-scopic pansinus operations. It is difficult to describe the o ver-lapping and meshing phases sufficiently in words. They are much mo re easily understood by looking at the whole process in its natural dy namic on a video screen. Wound healing after complete endonasal pansin us operation lasts over 6 months. Scar remodelling has not yet finishe d at this time. The following measures are recommended for decreasing postoperative granulations, edema, and swelling: minimizing the surgic al trauma, long-term packing with an occlusive, nonadherent material ( rubber finger packing), and topical steroids (Budesonide).