JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (1): 64-66.doi: 10.6040/j.issn.1673-3770.0.2015.500

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Relationship between sinonasal anatomic variation and chronic sinusitis in endoscopic sinus surgery.

YUE Wei   

  1. Department of Otolaryngology, Liaocheng Dongchangfu Peoples Hospital, Liaocheng 252000, Shandong, China
  • Received:2015-11-27 Online:2016-02-16 Published:2016-02-16

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Abstract: Objective To investigate the relationship between sinonasal anatomic variation and chronic sinusitis in endoscopic sinus surgery. Methods A total of 206 patients with chronic sinusitis were selected. According to the presence or absence of chronic sinusitis, the patients were divided into observation group(n=85)and control group(n=121). The phenomenon of sinonasal anatomic variation including deviation of nasal septum, vesicular middle turbinate, inferior turbinate hypertrophy, agger nasi hypertrophy, reversed deviation of middle turbinate and uncinate process pneumatization was recorded in two groups. Results The incidences of deviation of nasal septum, inferior turbinate hypertrophy, agger nasi hypertrophy and vesicular middle turbinate in observation group were all significantly higher than those in control group(P<0.05), whereas there was no statistical significance between two groups by comparison to the incidences of reversed deviation of middle turbinate and uncinate process pneumatization(P>0.05). The upper deviation of nasal septum was very common in both groups, but the incidence of upper deviation of nasal septum in observation group was dramatically higher than in control group(P<0.05). Conclusion Deviation of nasal septum, vesicular middle turbinate, agger nasi hypertrophy and inferior turbinate hypertrophy all belong to the important structural variation in the development of chronic sinusitis, and are closely associated with the occurrence of chronic sinusitis.

Key words: Chronic sinusitis, Sinus, Sinus surgical procedures, operative, Anatomic variation

CLC Number: 

  • R765.4
[1] 胡咸正, 梁宇霆, 王亚君. 鼻腔解剖变异与慢性鼻窦炎的相关性CT分析[J]. 现代中西医结合杂志, 2014, 23(27):3055-3056.
[2] 虞雪梅. 多层螺旋CT检查在窦口鼻道复合体变异与鼻窦炎性疾病相关性研究中的价值[J]. 黑龙江医药, 2012, 25(6):863-865. YU Xuemei. Value of multislice CT in the OMC variation sinusitis disease[J]. Heilongjiang Med J, 2012, 25(6):863-865.
[3] 崔昕燕, 俞晨杰, 程雷. 慢性鼻-鼻窦炎病理生理学机制研究进展[J]. 中华临床医师杂志(电子版), 2013, 7(12):5513-5516.
[4] 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.
[5] 谢斌, 连磊. 经鼻内镜手术在慢性鼻窦炎鼻息肉治疗中的临床应用[J]. 当代医学, 2013, 19(2):92.
[6] 曹辉. 鼻息肉鼻窦炎鼻内窥镜手术治疗疗效分析[J]. 河北医药, 2012, 34(16):2447-2448.
[7] 杨海刚. 经鼻内镜治疗老年慢性鼻窦炎64例分析[J]. 四川医学, 2012, 33(4):687-688. YANG Haigang. Treatment of chronic sinusitis 64 cases of nasal endoscopy[J]. Sichuan Med J, 2012, 33(4):687-688.
[8] 赵小军, 鲍学礼, 菜克敏. 鼻内镜鼻窦手术治疗老年人慢性鼻窦炎的临床疗效[J]. 中国社区医师, 2014, 16(35):25-26,28. ZHAO Xiaojun, BAO Xueli, CAI Kemin. The clinical curative effect of endoscopic sinus surgery in elderly patients with chronic sinusitis[J]. Chin Comm Doctors, 2014, 16(35):25-26, 28.
[9] 刘丹, 张剑. 慢性鼻-鼻窦炎的病因与发病机制[J]. 国际耳鼻咽喉头颈外科杂志, 2013, 37(2):97-100.
[10] 王德辉, 许庚. 病情评估对慢性鼻-鼻窦炎治疗决策的影响[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(2):117-118.
[11] 张华, 许庚. 抗菌药物在慢性鼻-鼻窦炎治疗中的作用[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(2):104-106.
[12] 周必生. 窦口鼻道复合体变异与鼻窦炎CT临床分析[J]. 医药前沿, 2013, 24(1): 123.
[13] 徐素倩, 穆俊晌. 细菌生物膜与慢性鼻-鼻窦炎[J]. 国际耳鼻咽喉头颈外科杂志, 2013, 37(2):66-70.
[14] 罗静, 孙敬武. 嗜酸性粒细胞与慢性鼻-鼻窦炎[J]. 国际耳鼻咽喉头颈外科杂志, 2013, 37(2): 71-75.
[15] 郭仪, 柴卫芳, 张华, 等. 慢性鼻-鼻窦炎术后复发的手术操作因素和复发部位分析[J].新疆医科大学学报, 2014, 37(2):185-188. GUO Yi, CHAI Weifang, ZHANG Hua, et al. Analysis of the surgery causes and the recurrent parts of chronic-rhinosinusitis after nasal endoscopic surgery[J]. J Xinjiang Med Univ, 2014, 37(2):185-188.
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