J Otolaryngol Ophthalmol Shandong Univ ›› 2017, Vol. 31 ›› Issue (2): 62-66.doi: 10.6040/j.issn.1673-3770.0.2016.295

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Application of inferior nasal concha sequential surgery in the treatment of chronic hypertrophic rhinitis.

  

  1. Department of Otolaryngology Head and Neck Surgery, The First Peoples Hospital of Chengdu, Chengdu 610041, Sichuan, China
  • Received:2016-07-02 Online:2017-04-16 Published:2017-04-16

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Abstract: Objective To explore the application value of inferior nasal concha sequential surgery in the treatment of chronic hypertrophic rhinitis, so as to provide a optimized inferior nasal concha surgical protocol for clinical treatment. Methods A total of 109 patients with hypertrophic rhinitis were randomly enrolled and divided into sequential surgery group(n=54)and single plasma treatment group(n=55). The severity degree of rhinobyon, nasal stuffy, rhinocnesmus, mycteroxerosis, nasal pain, and nasal discomfort, visual analogue scale(VAS)score and Lund-Kennedy endoscope scores were recorded 2 weeks, 2 months and 6 months after the treatment. Results There was no significant difference between two groups in Lund-Kennedy endoscope score after treatment for 2 and 6 months respectively(P>0.05), but the difference was significant after 2-week treatment(P<0.05). Sequential surgery group was markedly lower in the total Lund-Kennedy endoscope score than single plasma treatment group. There were significant differences between the two groups in the severity scores of VAS like rhinobyon, nasal stuffy, rhinocnesmus and running nose(P<0.05), and the differences in the severity scores of VAS like mycteroxerosis, nasal pain, and nasal discomfort were also significant(P<0.05). Sequential surgery group was markedly lower in the total VAS score than single plasma treatment group. Conclusion Both groups have obtained satisfactory efficacy in the treatment of hypertrophic rhinitis. There is no significant difference between the two groups in objective Lund-Kennedy endoscope evaluation score. According to subjective VAS evaluation, sequential surgery group is evidently better than single plasma treatment group in clinical efficacy. Inferior nasal concha sequential surgery has excellent clinical efficacy in the treatment of chronic hypertrophic rhinitis, and also has significant advantages in protecting the physical function of inferior nasal concha and avoiding patients’ postoperative subjective discomfort.

Key words: Inferior turbinate, Sequential surgery, Chronic hypertrophic rhinitis, Plasma radiofrequency ablation

CLC Number: 

  • R765.4
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