Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 82-86.doi: 10.6040/j.issn.1673-3770.0.2018.447

• Original Article • Previous Articles     Next Articles

Clinical effects of different middle turbinate treatments on chronic rhinosinusitis with nasal polyps during endoscopic sinusitis

Guohui CHEN,Shouhuan HE,Qing SUN,Tianle GAO,Guangping BAI()   

  1. Department of Otolaryngology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, China
  • Received:2018-10-09 Revised:2019-02-15 Online:2019-09-20 Published:2019-10-15
  • Contact: Guangping BAI E-mail:13621629185@126.com

Abstract: Objective

To explore the clinical effects of different middle turbinate treatments on on chronic rhinosinusitis with nasal polyps (CRSwNP) during endoscopic sinusitis.

Methods

115 patients with CRSwNP were selected and treated with endoscopic sinus surgery, the patients were divided into study group (n=60, Middle conchoplasty) and control group (n=55, excision) according to the treatment of middle turbinate during operation, after operation they had follow-up for 3 months, the improvement of clinical symptoms, the changes of nasal function and olfactory function before and after operation of the 2 groups were compared, and the assessment of the Lund-Mackay and SNOT-20 scales was carried out.

Results

Compared with the preoperative group, the scores of dizziness, cough, nasal obstruction and purulent discharge in the 2 groups were lower, and the scores of dizziness, cough and purulent discharge in the study group were lower than those in the control group (t=12.979、13.298、9.216;P<0.001); 3 months after operation, the airway resistance, DCAN and olfactory function scores of the 2 groups decreased, and the nasal function indexes of the study group were lower than those of the control group (t=14.999, 3.611, 3.798;P<0.001); the nasal function indexes of the 2 groups increased, and the study group was higher than the control group (t=2.216, 11.379; P<0.001); Lund-Kennedy score and SNOT-20 score of the 2 groups decreased 3 months after operation, and that of the study group was lower than that of the control group (t=17.025,11.822; P<0.001).

Conclusion

The application of middle turbinate in endoscopic sinusitis. for CRSwNP patients is more effective, which can promote the recovery of nasal function and olfactory function and improve the quality of life of the patients.

Key words: Rhinosinusitis, Nasal polyps, Endoscopic surgical procedures, operative, Middle conchoplasty, Treatment outcome

CLC Number: 

  • R765.41

Table 1

The comparison of the clinical symptoms of the two groups before and after the operation( x ˉ ± s )"

组别 n 头晕 咳嗽 鼻塞 流脓涕
对照组 55
术前 2.16±0.36 4.26±1.21 5.56±1.36 5.29±1.36
术后1个月 0.78±0.16Δ 1.36±0.25Δ 1.68±0.34Δ 1.54±0.34Δ
观察组 60
术前 2.21±0.42 4.33±1.25 5.68±1.42 5.36±1.42
术后1个月 0.45±0.11Δa 0.88±0.12Δa 1.59±0.22Δ 1.03±0.25Δa

Table 2

The comparison of nasal function and olfactory function change between the 2 groups before and after operation( x ˉ ± s )"

组别 n 鼻腔功能 嗅觉功能(分)
气道阻力[kPa/(s·L)] DCAN(cm) NMCA(cm2) NCV(cm3)
对照组 55
术前 2.96±0.36 1.86±0.26 0.45±0.06 11.63±1.21 4.85±0.45
术后3个月 0.78±0.15Δ 1.77±0.20Δ 0.51±0.11Δ 14.26±1.93Δ 0.99±0.25Δ
观察组 60
术前 2.89±0.41 1.82±0.31 0.48±0.05 11.86±1.52 4.92±0.41
术后3个月 0.36±0.15Δa 1.66±0.12Δa 0.56±0.13Δa 18.92±2.41Δa 0.82±0.23Δa

Tab.3

Comparison of nasal mucosa morphology and quality of life scores between the 2 groups before and after operation( x ˉ ± s )"

组别 n Lund-Kennedy评分 SNOT-20评分
对照组 55
术前 5.22±0.78 20.45±2.96
术后3个月 3.65±0.48Δ 13.48±1.85Δ
观察组 60
术前 5.13±0.69 21.26±2.45
术后3个月 2.31±0.36Δa 10.14±1.12Δa
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