JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (1): 58-60.doi: 10.6040/j.issn.1673-3770.0.2015.223

Previous Articles     Next Articles

Effect of endoscopic sinus surgery on airway resistance and olfactory function in patients with sinusitis and nasal polyps.

HE Qingquan, LI Zhenan, YU Fengci.   

  1. Department of Otorhinolaryngology, Foshan Maternal and Child Health Hospital, Foshan 528000, Guangdong, China
  • Received:2015-06-05 Online:2016-02-16 Published:2016-02-16

PDF (PC)

485

Abstract: Objective To study the effect of endoscopic sinus surgery on airway resistance and olfactory function in patients with sinusitis and nasal polyps. Methods Ninety patients with sinusitis and nasal polyps in our hospital from April 2012 to March 2015 were randomly divided into the observation group and the control group. The observation group received endoscopic sinus surgery, while the control group received conventional surgery. Then airway resistance, olfactory function, nasal cavity volume(NCV), nasal minimum cross-sectional area(NMCA)were compared between the two groups. Results 1, 4, 8 and 12 weeks after the surgery, the nasal airway resistance were significantly lower in the observation group than in the control group(P<0.05)and the olfactory function scores were significantly lower in the observation group than in the control group(P<0.05); 8 weeks and 12 weeks after the surgery, NCV and NMCA were significantly higher in the observation group than in the control group(P<0.05). Conclusion Nasal endoscopic sinus surgery can help to increase NCV and NMCA, reduce airway resistance and improve the sense of smell functions.

Key words: Nasal polyps, Nasal cavity volume, Sinusitis, Olfactory function, Endoscopic surgical procedures, operative

CLC Number: 

  • R765.4
[1] 杨兆科. 鼻窦灌注液冲洗对慢性鼻窦炎鼻内镜术后的疗效机制研究[J]. 中国全科医学, 2011, 14(24):2740-2742. YANG Zhaoke. Mechanisms for the curative effect of douching with the nasal sinuses perfusate in treating chronic sinusitis after endoscopic sinus surgery[J]. Chin Gen Prac, 2011, 14(24):2740-2742.
[2] Macdonald K I, Gipsman A, Magit A, et al. Endoscopic sinus surgery in patients with cystic fibrosis: a systematic review and meta-analysis of pulmonary function[J]. Rhinol, 2012, 50(4):360-369.
[3] 冯娟, 吴国英, 雍军, 等. 鼻内镜手术治疗伴与不伴鼻息肉的慢性鼻-鼻窦炎患者的疗效[J]. 新疆医科大学学报, 2014, 37(9):1162-1164. FENG Juan, WU Guoying, YONG Jun, et al. Efficacy of endoscopic sinus surgery in the treatment of with and without nasal polyps of chronic nasal-sinusitis[J]. J Xinjiang Med Univ, 2014, 37(9):1162-1164.
[4] 陈仁物, 王德仁. 欧洲鼻窦炎和鼻息肉诊疗意见书2012版:鼻窦炎诊治更新与精要[J]. 解放军医学杂志, 2013, 38(2):87-93. CHEN Renwu, WANG Deren. European position paper on rhinosinusitis and nasal polyps 2012: updates and highlights on diagnosis and treatment of rhinosinusitis[J]. Med J Chin People Lib Army, 2013, 38(2):87-93.
[5] 张海, 杭伟, 张金玲. 鼻内镜下治疗老年慢性鼻窦炎鼻息肉术后嗅觉恢复的相关因素[J]. 中国老年学杂志, 2014, 34(5):1227-1228.
[6] 何艳芳. 鼻内镜对老年鼻窦炎鼻息肉患者鼻腔通气及嗅觉功能影响研究[J]. 中国医药导刊, 2014, 16(2):349-350. HE Yanfang. The nasal ventilation and olfactory of nasal endoscopy for chronic sinusitis and nasal polyps with elderly patients[J]. Chin J Med Guide, 2014, 16(2):349-350.
[7] Nguyen D T, Nguyen-Thi P L, Jankowski R. How does measured olfactory function corelate with self-ratings of the sense of smel in patients with nasal polyposis?[J]. Laryngoscope, 2012, 122(5):947-952.
[8] 陈志鹏, 彭伟, 李文生, 等. 鼻内镜手术对慢性鼻窦炎鼻息肉患者嗅功能的改善作用[J]. 中华实用诊断与治疗杂志, 2014, 28(4):388-389. CHEN Zhipeng, PENG Wei, LI Wensheng, et al. Effect of nasal endoscopy on improving olfactory function in patients with chronic sinusitis and nasal polyps[J]. J Chin Prac Diag Ther, 2014, 28(4):388-389.
[9] Falco A, Amoroso C, Berardini M, et al. A retrospective study of clinical and radiologic outcomes of 69 consecutive maxillary sinus augmentations associated with functional endoscopic sinus surgery[J]. Int J Oral Maxillofac Implants, 2015, 30(3):633-638.
[10] Shpilberg K A, Daniel S C, Doshi A H, et al. CT of anatomic variants of the paranasal sinuses and nasal cavity: poor correlation with radiologically significant rhinosinusitis but importance in surgical planning[J]. Am J Roentgenol, 2015, 204(6):1255-1260.
[11] Tantilipikorn P, Tunsurlyawong P, Jareoncharsri P, et al. A randomized, prospective, double-blind study of the efficacy of dexpanthenol nasal spray on the postoperative treatment of patients with chronic rhinosinusitis after endoscopic sinus surgery[J]. J Med Assoc Thai, 2012, 95(1):58-63.
[12] 李骋,黄谦,崔顺九,等. DrafⅢ型额窦手术对鼻腔功能影响的前瞻性研究[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49(9):711-716. LI Cheng, HUANG Qian, CUI Shunjiu, et al. Prospective study on the impact of nasal function after Draf Ⅲ frontal sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2014, 49(9):711-716.
[13] McCoul E D, Smith T L, Mace J C, et al. Interrater agreement of nasal endoscopy in patients with a prior history of endoscopic sinus surgery[J]. Int Firum Allergy Rhinol, 2012, 2(6):453-459.
[14] 徐艳红, 何刚, 黄定强, 等. 慢性鼻-鼻窦炎鼻内镜手术预后的影响因素分析[J]. 实用医院临床杂志, 2013, 10(1):117-118. XU Yanhong, HE Gang, HUANG Dingqiang, et al. Analysis of the factors affecting the prognosis of functional endoscopic sinus surgery for chronic rhinosinusitis[J]. Prac J Clin Med, 2013, 10(1):117-118.
[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] HUANG Yuan, BA Luo, LI Bo, YU Wenxing, YANG Fangli, DU Jintao. Transcription factor NKX2-1 regulates eosinophilic inflammation in chronic rhinosinusitis with nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 17-23.
[7] 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.
[8] 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.
[9] 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.
[10] LOU Hongfei, WANG Chengshuo. Progress in classification of chronic sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 10-13.
[11] LI Huabin, LAI Yuting. Pathogenesis, diagnosis, and treatment of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 4-9.
[12] 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.
[13] 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.
[14] YU Qianqian, GUAN Ge, ZHANG Niankai, LI Na, WEN Junfeng, LIU Tingting, LIAN Yuanyuan. Characteristics of respiratory epithelial adenomatoid hamartomas in the nasal olfactory cleft on computed tomography [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 76-81.
[15] LI Ying. Syndrome differentiation of chronic sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 27-30.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd