This case series describes placement of an endotracheal tube (ETT) with an air-inflated cuff within surgically created sinonasal windows as a technique of post-operative haemostasis. A frontonasal bone flap and a sinonasal window were performed routinely in three standing horses with paranasal sinus disease. In Case 1, the fistula was initially gauze packed, which controlled haemorrhage until concerns of gauze dislodgement necessitated removal 8 h post-operatively. Severe haemorrhage ensued, requiring emergency passage of an ETT and cuff inflation for control. In Cases 2 and 3, the ETT was placed electively intraoperatively for post-operative haemostasis. The ETT was easy to use in the standing horse and no discomfort or complications were recorded. It adequately controlled haemorrhage post-operatively by application of controlled pressure to the nasal and sinus vasculature. ETT cuff placement and inflation over surgically created sinonasal windows has the potential to provide simple and reliable haemostasis following standing sinus-flap surgery without the reported complications of conventionally used methods.

中文翻译：

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在三匹马的术后鼻窦手术中使用气管插管作为短期止血的新方法的评价

本病例系列描述了将带有充气袖带的气管插管 (ETT) 放置在手术创建的鼻窦窗内，作为术后止血技术。在三匹患有鼻旁窦疾病的站立马中常规进行额鼻骨瓣和鼻窦窗。在案例 1 中，瘘管最初是用纱布填充的，这控制了出血，直到术后 8 小时担心纱布脱落需要移除。随后发生了严重的出血，需要紧急通过 ETT 和袖带充气进行控制。在病例 2 和 3 中，ETT 被选择性地在术中放置以进行术后止血。ETT 很容易在站立的马身上使用，并且没有记录到任何不适或并发症。它通过对鼻腔和鼻窦脉管系统施加受控压力来充分控制术后出血。ETT 袖带放置和充气在手术创建的鼻窦窗上有可能在站立式鼻窦瓣手术后提供简单可靠的止血，而没有报告的常规使用方法的并发症。