JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (5): 58-60.doi: 10.6040/j.issn.1673-3770.0.2016.153

Previous Articles     Next Articles

The application of Sinus Jel in adult patients of nasal polyps with sleep-disordered breathing.

WANG Haipeng1, XU Huijuan1, ZHANG Xiufang1, WANG Huizhong1, LI Yanzhong   

  1. 1. Department of Otolaryngology &Head and Neck Surgery, Zibo Central Hospital, Zibo 255031, Shandong, China;2. Department of Otolaryngology, Qilu Hospital of Shandong University / Key Laboratory of Otorhinolaryngology of Health Ministry, Jinan 250012, Shandong, China
  • Received:2016-04-05 Online:2016-10-20 Published:2016-10-20

PDF (PC)

940

Abstract: Objective To explore whether PureRegen Gel Sinus is a suitable nasal packing material for patients with sleep-disordered breathing(SDB)caused by chronic rhinosinusitis plus nasal polys(CRSwNP). Methods A total of 216 CRSwNP cases including 156 SDB and 60 non-SDB cases were divided into 4 groups. Group A(60 non-SDB cases)and group B(56 SDB cases)were treated with PureRegen Gel Sinus after nasal sinus surgery. Group C included 47 SDB cases treated with Nasopore. Group D included 53 SDB cases treated with Medical Sponge. The nasal reactions of the 4 groups were compared with Visual Analogue Scale(VAS). Results There were significant differences in headache, rhinalgia and postoperative bleeding between group A and B(P<0.05). Patients with SDB were more intolerant to these complications. There were statistical differences in headache, rhinalgia, rhinobyon and lacrimation between group B and C(P<0.05). PureRegen Gel Sinus was was superior to Nasopore. There were statistical differences in headache, rhinalgia, rhinobyon, lacrimation, dysphagia and postoperative bleeding between group B and D(P<0.05). PureRegen Gel Sinus was no better than medical sponge in dealing with postoperative bleeding, but it was still acceptable. PureRegen Gel Sinus was superior to medical sponge in other aspects. Conclusion PureRegen Gel Sinus is more suitable for clinical practice as a packing material. In addition, SDB can worsen headache, rhinalgia and postoperative bleeding, which may be associated with inflammation resulted from long-term oxygen depletion.

Key words: Nasal packing, PureRegen Gel Sinus, Sleep-disordered breathing, Endoscopic sinus surgery, Nasal polyps

CLC Number: 

  • R766.7
[1] Young T, Palta M, Dempsey J, et al. The occurrence of sleep disordered breathing among middle age adults[J]. N Engl J Med, 1993, 328(12):1230-1235.
[2] Ancolii S, Kripke D F, Klauber M R, et al. Sleep disordered breathing in community dwelling elderly[J]. Sleep, 1991, 14(6):486-95.
[3] 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, 昆明)[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(2):92-94.
[4] Vaiman M, Evitar E, Segal S. Effectiveness of secondgeneration fibrin glue endonasal operations[J]. Otolaryngal Head Neck Surg, 2002, 126(4):388-391.
[5] 陈秀梅, 张庆泉, 栾信庸. 三种鼻腔填塞材料在鼻内镜手术中的疗效比较[J]. 山东大学耳鼻喉眼学报, 2006, 20(5):438-440. CHEN Xiumei, ZHANG Qingquan, LUAN Xinyong. Effect of three nasal packing materials in functional endoscopic sinus surgery[J]. J Otolaryngol Ophthalmol Shandong Univ, 2006, 20(5):438-440.
[6] Sabato R, Guido P, Salerno F G, et al. Airway inflammation in patients affected by obstructive Sleep apnea[J]. Monaldi Arch Chest Dis, 2006, 65(2):102-105.
[7] Burioka N, Koyanagi S, Fukuoka Y, et al. Influence of intermittent hypoxia on the signal transduction pathways to inflammatory response and circadian clock regulation[J]. Life Sci, 2009, 85(9-10):372-378.
[8] 王海鹏, 赵允沛, 张增, 等. 多导睡眠监测和头颅侧位片在儿童睡眠呼吸障碍诊治中的应用[J]. 临床耳鼻咽喉科头颈外科杂志, 2014, 28(24):1982-1985. WANG Haipeng, ZHAO Yunpei, ZHANG Zeng, et al. Application research of polysomnography and lateral cephalometric radiographs in the diagnosis and treatment of sleep-disordered breathing in children[J]. Clin J Otorhinolarynol Head Neck Surg, 2014, 28(24):1982-1985.
[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] SHEN Qinfeng, SHEN Xiaoyan, ZHU Rongqiang, JIANG Feifei, LANG Juntian. Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 82-85.
[3] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[4] 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.
[5] 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.
[6] 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.
[7] LI Huabin, LAI Yuting. Pathogenesis, diagnosis, and treatment of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 4-9.
[8] 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.
[9] 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.
[10] 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.
[11] GAN Bin, ZHANG Yongju, XU Anting. BRF2 in the pathogenesis of chronic rhinosinusitis with nasal polyps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 47-53.
[12] WANG Lei, YUAN Ying, YU Xuemin, HAN Yue, WANG Ning, LI Xiao, LI Zejing, LI Long. Efficacy of the continuous suture technique in septoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 73-75.
[13] ZHI Lili, SONG Daoliang. Expressions of eosinophils and IL5 in antrochoanal polyps and nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 43-46.
[14] LUN Jie, ZHANG Ya′nan. Analysis on the factors related to the recurrence of chronic rhinosinusitis with nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 80-83.
[15] . Endoscopic surgery of sinonasal benign osteogenic tumors with involvement of nasal skull base region. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 31-36.
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