JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (2): 44-47.doi: 10.6040/j.issn.1673-3770.0.2014.306

Previous Articles     Next Articles

Therapeutic effect of uncinectomy through the anterior nasal fontanelle in endoscopic sinus surgery

LIN Xi, LIN Chang, ZHANG Rong   

  1. Department of Otolaryngology, First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, Fujian, China
  • Received:2014-09-09 Online:2015-04-16 Published:2015-04-16

Abstract: Objective To observe the therapeutic effect of uncinectomy through the anterior nasal fontanelle in endoscopic sinus surgery. Methods Sixty patients diagnosed as chronic ethmomaxillary sinusitis were divided into two groups. The research group had 31 patients(52 sides) and the control group had 29 patients(50 sides). The research group received uncinectomy via the anterior nasal fontanelle while the control group received the traditional uncinectomy by Messerklinger. VAS score, Lund-Kennedy score, mucociliary transport time(MTT) and the activated charcoal powder method were used to observe the therapeutic effects. Results Twelve months after the operation, the VAS score, Lund-Kennedy score and the MTT of the two groups were statistically different (P<0.05). Activated charcoal powder was all drained out from the inferior edge in the research group, while there was powder stacked in the sinuses in 8 sides of the control group. Conclusion Uncinectomy through the anterior nasal fontanelle is a more effective method for chronic sinusitis and can achieve better recovery of the mucocilliary transport system than the uncinectomy by Messerklinger does.

Key words: Mucocilliary transport system, Sinusitis, Anterior fontanelle, Endoscopic surgical procedures, operative, Uncinectomy

CLC Number: 

  • R765.9
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2012年, 昆明)[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94. Nasal Study Group of Editorial Board of the Chinese Journal of Otorhinolaryngology Head and Neck Surgery. Nasal Study Group of Chinese Medical Association of Otolaryngology Head and Neck Surgery. Guidelines of diagnosis and treatment for chronic rhinosinusitis (2012, Kunming)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(2):92-94.
[2] Xi Lin, Chang Lin, Rong Zhang, et al. Uncinectomy througth anterior nasal fontenelle in endoscopic sinus surgery[J]. J Craniofacial Surg, 2011, 22(6):2220-2223.
[3] Asai K, Haruna S, Otori N, et al. Saccharin test of maxillary sinus mucociliary function after endoscopic sinus surgery[J]. Laryngoscope, 2000, 110(1):117-122.
[4] 许成利, 左可军, 许庚. 上颌窦自然开口开放方式对上颌窦纤毛传输途径的影响[J]. 中华耳鼻咽喉头颈外科杂志,2008, 43(4):259-262. XU Chengli, ZUO Kejun, XU Geng. Impact of draining mode of enlarged maxillary ostium on mucociliary transportation system[J]. Chin J Otolaryngol Head Neck Surg, 2008, 43(4):259-262.
[5] Min Y G, Kim I T, Park S H. Mucociliary activity and ultrastructural abnormalitilies of regenerated sinus mucosa in rabbits[J]. Laryngoscope, 1994, 104(12):1482-1486.
[6] Davis W E, Templar J W, Lamear W R. Patency rate of endoscopy middle meatus antrostomy[J]. Laryngoscope, 1991, 101(4Pt1):416-421.
[7] Musy P Y, Kountakis S E. Anatomic findings in patients undergoing revision endoscopic sinus surgery[J]. Am J Otolaryngol, 2004, 25(6):418-422.
[8] Oeken J, Bootz F. Severe complications after endonasal nasal sinus surgery.An unresolved problem[J]. HNO, 2004, 52(6):549-553.
[9] Vleming M, Middlelweerd R J. Complications of endoscopic sinus surgery[J]. Arch Otolaryngol Head Neck Surg, 1992, 118(6):617-623.
[10] Forsgren K, Stierna P, Kumlien J, et al. Regeneration of maxillary sinus mucosa following surgical remova1[J]. Ann Otol Rhinol Laryngol, 1993, 102(6):459-466.
[11] Yoon J H, Kim K S, Jung D H, et al. Anterior fontanelle and uncinate process in the lateral wall of the human nasal cavity[J]. Laryngoscope, 2000, 110(2 Pt1):281-285.
[12] Toskala E, Rautiainen M. Effects of surgery on the function of maxillary sinus mucosa[J]. Eur Arch Otorhinolaryngol, 2005, 262(3):236-240.
[13] Benninger M S, Schmidt J L, Crlssman D, et al. Mucociliary function following sinus mucosal regeneration[J]. Otolaryngol Head Neck Surg, 1991, 105(5):641-648.
[1] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[2] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[3] WANG Chi, LIU Xing, KONG Lei, HONG Xinghe, NING Bo. Clinical efficacy of endoscopic plasma radiofrequency ablation in the treatment of adenoid hypertrophy and sinusitis in children and its effect on nasal mucociliary clearance [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 78-81.
[4] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[5] QIAO Shufen, YANG Feilun, WANG Zhenni, LI Xuezhong. Relationship between YKL-40 and chronic rhinosinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 95-99.
[6] CHEN Wangxing, ZHAO Xue, LIU Yan, LIU Yue, JIN Chunshun. Psychological status of patients with deviated nasal septum or chronic sinusitis with nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 24-27.
[7] Effect of short-term glucocorticoid inhalation on nasal symptoms and adrenocortical function in patients with eosinophilic chronic sinusitis accompanied by nasal polyps. Effect of short-term glucocorticoid inhalation on nasal symptoms and adrenocortical function in patients with eosinophilic chronic sinusitis accompanied by nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 28-31.
[8] CHEN Ming, YU Xuefei. Opinions on the treatment of chronic rhinosinusitis with allergic rhinitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 18-22.
[9] LOU Hongfei, WANG Chengshuo. Progress in classification of chronic sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 10-13.
[10] LI Huabin, LAI Yuting. Pathogenesis, diagnosis, and treatment of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 4-9.
[11] ZHANG Guimin, LIN Peng. Endotype of chronic rhinosinusitis: from basic to clinical research [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 14-17.
[12] ZHANG Wei, ZENG Yuhan, YU Xiansong. Changes in nasal secretion of ECP, EGF and IL-6 in patients with chronic sinusitis before and after endoscopic sinus surgery and their clinical significance [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 63-67.
[13] LI Ying. Syndrome differentiation of chronic sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 27-30.
[14] LI Hongmei, WANG Lan, GAO Zhaohui, WANG Ying, XUE Jinmei. The expression and significance of p-ERK2/ ERK2 in nasal polyps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 42-46.
[15] ZHANG Jie, GONG Qi. Clinical significance of eosinophils and neutrophils in blood and allergic reaction in patients with chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 54-57.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!