J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (5): 82-85.doi: 10.6040/j.issn.1673-3770.0.2018.176

Previous Articles     Next Articles

Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis

SHEN Qinfeng1, SHEN Xiaoyan1, ZHU Rongqiang1, JIANG Feifei1, LANG Juntian2   

  1. Department of Otolaryngology, Shanghai Changzheng Hospital, Naval Military Medical University, Shanghai 200003, China
  • Received:2018-04-09 Online:2018-09-20 Published:2018-09-20

PDF (PC)

243

Abstract: Objective To explore the efficacy of partial middle turbinectomy in endoscopic sinus surgery for chronic sinusitis with nasal polyps. Methods A total of 76 patients with chronic sinusitis and nasal polyps accepted functional nasal endoscopic surgery(FESS)from January 2014 to January 2017. Patients were divided into two groups randomly. One group of 38 patients underwent usual FESS surgery with the middle turbinate preserved, while the other group of 38 patients underwent FESS with middle turbinate removed. The cure rate, operation time, middle turbinectomy adhesion, symptom scoring and olfactory function were investigated and statistically analyzed. Results The operation time was(50.53±6.25)minutes in middle turbinate resection group, and(58.11±6.09)minutes in the other group(t=5.355, P<0.001). Six months after surgery, both groups had 100% effective outcome. The cure rate of the turbinate-preserved group was 78.95%(30/38)and of the resection group was 81.58%(31/38). After surgery, there was a significant difference for patents symptom scoring and middle turbinate adhesion between the two groups, which was much better in middle turbinate resection group. Conclusion Partial removing middle turbinate can shorten the time of nasal endoscopic surgery and middle turbinate adhesion, improving patients subjective feeling. It is suggested that for patients with moderate middle turbinate hypertrophy and polypoid changes, the lesioned middle turbinate need to be removed appropriately in functional endoscopic sinus surgery.

Key words: Middle turbinate, Treatment outcome, Functional Endoscopic Sinus Surgery

CLC Number: 

  • R765.2
[1] Ponikau JU, Sherris DA, Kephart GM, et al. Features of airway remodeling and eosinophilic inflammation in chronic rhinosinusitis: is the histopathology similar to asthma?[J]. J Allergy Clin Immunol, 2003, 112:877-882.
[2] 王道本,陆允伟,周明,等. 功能性内窥镜鼻窦手术切除和保留中鼻甲对疗效的影响[J]. 上海医学,2001,24(6):366-369. WANG Daoben, LU Yunwei, ZHOU Ming, et al. Comparison of affect of functional endonasal sinus surgery with and without partial middle turbinate resection[J]. Shanghai MED J, 2001, 24(6):366-369.
[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年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guidelines for diagnosis and treatment of chronic rhinosinusitis(2012, Kunming)[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2013, 48(2):92-94.
[4] 陈禹潭,曹金红,梁耕田,等.慢性鼻-鼻窦炎伴鼻息肉患者主观评分的相关性分析[J].中华耳鼻咽喉头颈外科杂志,2013,48(4):335-336. CHEN Yutan, CAO Jinhong, LIANG Gengtian, et al. Correlation analysis of subjective and objective scoring of chronic rhinosinusitis with nasal polyps[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(4):335-336.
[5] 左可军,许庚,史剑波,等.内镜鼻窦手术治疗慢性鼻-鼻窦炎临床结局的主客观评估[J].中华耳鼻咽喉头颈外科杂志,2008,43(1):7-12. ZUO Kejun, XU Geng, SHI Jianbo, et al. Subjective and objective clinical outcome assessment on chronic rhinosinusitis following endoscopic sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surg, 2008, 43(1):7-I2.
[6] 吉晓滨,梁赐芳,吴晓钟,等.修正性鼻内窥镜手术面临问题及对策[J].广东医学,2004,25(10):1183.
[7] Soler ZM, Hwang PH, Mace J, et al. Outcomes after middle turbinate resection:revisiting acontroversial topic[J]. Laryngoscope, 2010, 120(4):832-837.
[8] 王明婕, 林枫, 张晓晴,等. 功能性鼻内镜手术与轮廓化鼻内镜手术治疗难治性鼻窦炎的疗效分析[J]. 临床耳鼻咽喉头颈外科杂志,2016,31(3):185-190. WANG Mingjie, LIN Feng, ZHANG Xiaoqing, et al. Analysis of surgical outcomes of functional endoscopic sinus surgery and radical sinus surgery for refractory rhinosinusitis[J]. J Clin Otorhinolaryngol Head Neck Surg, 2016, 31(3):185-190.
[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] 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.
[3] MA Zhaoen, ZHAI Jinming, LIAO Libing, YANG Zhen. Short-term effect of eustachian tube balloon dilation in the treatment of chronic otitis media with effusion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 54-56.
[4] . Efficacy of mometasone furoate and Yupingfeng particles for adenoid hypertrophy in children. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 73-76.
[5] . Coblation for benign hyperplasia of the tongue base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 83-84.
[6] WANG Yaning, GENG Bo, LI Baiyan, CUI Chaoyang, WANG Qirong. The treatment experience on osteoradionecrosis of skull base with nasopharyngeal carcinoma after radiotherapy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 42-45.
[7] PANG Yufeng, GONG Jingrong, ZOU Yang, HUANG Juan. Application of modified naso-pharyngeal tube in postoperative packing of FESS. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 47-50.
[8] LUAN Yanan, GUO Jingli, WANG Lihua. Outcome of artificial divergence surgery in patients with infantile nystagmus syndrome (6 cases report) [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 69-71.
[9] LIU Hong, LIU Tian-yue, WANG Chun-jiao, WANG Juan. Improved soft palate pull in the treatment of adenoid hypertrophy by exposure the nasopharyngeal [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 89-90.
[10] WANG Yong-fu, XU Yong-xiang, YU Jun, YU Ya-ping, CHEN Xiao-hua. Surgical treatment for styloid precess syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 9-10.
[11] MA Xiang, GUO Jing-li, WANG Li-hua. Effects of bilateral lateral rectus recession in the treatment of simulated divergence excess intermittent exotropia in children [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 62-65.
[12] ZHANG Wei-shi, GAO Gang, QIAN Mao-hua, JI Chao. Budesonide used after functional endoscopic sinus surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 43-45.
[13] ZHOU Rong-jin, WANG Jun-guo. Myoepithelial carcinoma in the nasopharynx：a case repot and literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 33-34.
[14] SUN Xin-cheng, LU Guo-hua, CHEN Chen, XIE Yang. Clinical effect of hydroxyapatite orbital implantation with scelral cover at the top of hydroxyapatite [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 87-89.
[15] LIU-Quan, L Chuan-zhen. Curative effect of traditional Chinese medicine in combination with western medicine on chronic sinusitis in children [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 46-47.
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