간이식 수술과 동시에 시행한 일측 상악동 부비동 내시경 수술 1예

Liver transplantation is the most effective and the only curative method in treatment of chronic liver failure. Because of the need for posttransplant immunosuppresion, the recipient must be free of infection preoperatively. Endoscopic sinus surgery has been the preferred approach for the treatment of medically refractory sinusitis, because of the excellent visualization through minimally invasive approach. But when an operation on a patients with severe chronic liver disease, endoscopic surgeon should be alert for the bleeding tendency due to coagulopathy. Here, we present our experience of simultaneous endoscopic sinus surgery and liver transplantation. (J Clinical Otolaryngol 2008;19:95–98)