J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (5): 86-89.doi: 10.6040/j.issn.1673-3770.0.2018.020

Previous Articles     Next Articles

Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall

TIAN Zenghua   

  1. Department of Otolaryngology, Huanghua Peoples Hospital, Huanghua 061100, Hebei, China
  • Received:2018-01-10 Online:2018-09-20 Published:2018-09-20

PDF (PC)

405

Abstract: Objective To study the clinical efficacy of nasal endoscopic vestibule cyst removal with hypothermic plasma for treatment of nasal vestibular cysts while excluding the septal wall. Methods A total of 84 patients with nasal vestibular cysts were selected and randomly divided into group A and group B according to the random number table method, resulting in two groups with 42 patients each. The patients in group A were subjected to low-temperature-controlled plasma radio frequency ablation by nasal endoscopy. The patients in group B underwent traditional gingival sulcus cyst removal. We compared surgery duration, intraoperative bleeding, wound healing time, the VAS scores of pain at 12 h, 24 h, and 48 h after surgery; the total incidence of complications within one month after surgery; and the complications and recurrence during follow-up between the two groups. Results Surgery duration, intraoperative bleeding, and wound healing time in group A were 21.02±5.98 min, 13.55±4.01 mL, and 3.52±1.02 days, respectively. All values were significantly lower than in group B(surgery duration: 38.96±8.24 min; intraoperative bleeding: 51.88±9.30 mL; and wound healing time: 5.97±2.16 days; P<0.05). Additionally, the VAS scores of pain in group A at 12 h, 24 h, and 48 h after operation were significantly lower than those in group B(P<0.05). The recent complication rate in group A patients was 4.76%, which was significantly lower than the 19.05% complication rate in group B patients(P<0.05). The overall incidence of complications during follow-up was 2.38% and 7.14% in group A and B, respectively. The recurrence rates were 0 and 4.76% in group A and B, respectively. These differences were not significant. Conclusion Low-temperature-controlled plasma radio frequency ablation via nasal endoscopy combines multiple advantages of endoscopy and cryogenic plasma, i.e. simpler surgery, less postoperative pain, and fewer complications in comparison to cyst removal via the gingival sulcus.

Key words: Nasal vestibular cyst, Low-temperature plasma surgery, Resection of the gingival sulcus cyst, Endoscopy

CLC Number: 

  • R765
[1] 周汝环,徐明安,张雁冰,等. 鼻前庭囊肿2种手术方式的疗效比较[J]. 安徽医学,2017,38(7):902-904.
[2] 刘雪冰. 鼻内镜下低温等离子射频消融术治疗鼻前庭囊肿临床分析[J]. 中国耳鼻咽喉头颈外科,2014,21(5):267-268.
[3] 杨欣荣,毛庆杰. 鼻内镜下鼻前庭囊肿剜除术[J]. 中国耳鼻咽喉头颈外科,2013,20(9):480.
[4] 李福军,杨蓓蓓,王海军,等. 鼻前庭囊肿发生机制的探讨[J]. 临床耳鼻咽喉头颈外科杂志,2007,21(2):82-83. LI Fujun, YANG Beibei, WANG Haijun, et al. Nasal vestibular cyst: a report of forty two cases and investigation of its pathogenesis[J]. J Clin Otorhinolaryngol Head Neck Surg, 2007, 21(2):82-83.
[5] 郝凯飞,闫朝晖,陶树东,等. 内镜下经鼻行鼻前庭囊肿完整剥除术的疗效观察[J]. 中华耳鼻咽喉头颈外科杂志,2017,52(5):361-364. HAO Kaifei, YAN Zhaohui, TAO Shudong, et al. Effect of intranasal excision on nasal vestibular cyst under nasal endoscopy[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(5):361-364.
[6] 王春雨,张芬,张庆泉,等. 鼻内镜下经鼻内进路行腭正中囊肿微创手术21例临床分析[J]. 山东大学耳鼻喉眼学报,2017,31(3):84-86. WANG Chunyu, ZHANG Fen, ZHANG Qingquan, et al. Use of an intranasal endoscopic approach for treatment of palatal midline cyst in 21 cases[J]. J Otolaryngol Ophthalmol Shandong Uni, 2017, 31(3):84-86.
[7] 覃焕桦,林琳,陈子松,等. 鼻内镜下低温等离子射频消融术与囊肿揭盖术治疗鼻前庭囊肿的临床分析[J]. 河北医药,2017,39(8):1231-1233.
[8] 李先辉,陈崇喜. 鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术的比较[J]. 实用医学杂志,2012,28(21):3578-3580.
[9] 刘津,冯云,覃继新,等. 鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用[J]. 中国内镜杂志,2017,23(7):6-10. LIU Jin, FENG Yun, QIN Jixin, et al. Low temperature controlled plasma technology by nasal endoscopy in treatment of nasal vestibular cys[J]. Chin J Endoscopy, 2017, 23(7):6-10.
[10] 赵艾君,谢鹏,李志伟,等. 鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术治疗鼻前庭囊肿的疗效对比[J]. 广西医科大学学报,2016,33(5):880-882.
[11] 王涛,杨钦泰,刘贤,等. 经鼻内镜改良鼻前庭囊肿切除的临床研究[J]. 中国耳鼻咽喉头颈外科,2012,19(7):375-377.
[12] 郭斌,张英. 鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察[J]. 中国内镜杂志,2017,23(5):53-56. GUO Bin, ZHANG Ying. Comparison between low temperature-controlled plasma radio frequency ablation by nasal endoscopy and traditional way in treatment of nasal vestibular cyst[J]. Chin J Endoscopy, 2017, 23(5):53-56.
[13] 孙焕吉,卢永田,罗兴谷,等. 两种鼻前庭囊肿手术疗效比较[J]. 山东医药,2014,54(32):74-75.
[14] 戚莎菲,刘鹏,李士新,等. 鼻内镜下低温等离子射频消融治疗鼻前庭囊肿[J]. 中国中西医结合耳鼻咽喉科杂志,2014,15(2):102-104. QI Shafei, LIU Peng, LI Shixin, et al. Clinical observation on the therapeutic effect of low temperature plasma radiofrequency ablation operation on nasal vestibular cyst under nasal endoscope[J]. Chin J Otorhinolaryngol Integrat Med, 2014, 15(2):102-104.
[15] Kim SJ, Byun SW, Lee SS. Various tumors in the nasal vestibule[J]. Int J Clin Exp Pathol, 2013, 6(12):2713-2718.
[16] 钱建娥. 鼻内镜下低温等离子刀射频消融术与唇龈沟径路囊肿切除术治疗鼻前庭囊肿的疗效比较[J]. 中国临床医学,2015,22(4):547-549. QIAN Jiane. Efficacy comparison between low temperature-controlled plasma radiofrequency ablation by nasal endoscopy and cystectomy via labiogingival groove approach in the treatment of nasal vestibular cyst[J]. Chin J Clin Med, 2015, 22(4):547-549.
[1] DU Xiaoying, LI Na, KONG Demin, LIU Xiaohong, YANG Minjuan, REN Xiaoyong, HOU Jin. Application of combined dyclonine and lidocaine anesthesia for laryngeal examination using narrow-band imaging endoscopy [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 90-92.
[2] WANG Xingcun, ZHU Liqiang, ZUO Wenyuan, MENG Zhiqiang, LIU Yang, TI Tongxin. Clinical outcomes of micro-drill recanalization and artificial nasolacrimal duct implantation with fifth-generation lacrimal endoscopy to treat nasolacrimal duct obstruction [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 93-96.
[3] WANG Yuan, ZHOU Han, LIU Xiaojing, ZHANG Liqing, ZHAO Qing, FENG Jian, DONG Weida. Surgical strategies for nasal inverted papilloma and corresponding recurrence rates [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 79-83.
[4] TIAN Xu, HUO Hong, LI Wuyi, WANG Jian, YANG Dahai. Endoscopy with Müllers maneuver and airway pressure measurement method on the evaluation of the upper airway of obstructive sleep apnea hypopnea syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 29-32.
[5] ZHOU Peng, SHEN Ping, LIU Wen, LI Peihua, LI Hongquan. Association between findings of drug-induced sleep endoscopy and hypoxemia. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 54-57.
[6] ZHANG Jianwei, WANG Guoqing, NI Ze. A report of craniopharyngioma misdiagnosed as sphenoid sinus cyst. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 109-110.
[7] HUANG Xiaoming, LIANG Faya, YU Shitong. Surgical treatment of papillary thyroid carcinoma under endoscopy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 13-16.
[8] LI Houjie, QU Qian, XU Shicai, LIU Lingbing, ZHANG Yongchao, WANG Xuzeng, LIU Lei. Clinical experience on the treatment of antrochoanal polyp under nasal endoscopy by expand road of the combined middle-inferior meatus. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 62-64.
[9] WANG Gang, HU Jinwang, TAO Wei, WU Changsong, WEI Pingcun. Anatomy of lacrimal sac to endoscopic transnasal dacryocystorhinostomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 26-28.
[10] MENG Qingguo, LU Yongtian, WU Xiaoliu, LI Jianxing, SUN Huanji, ZHANG Baoying, XIE Chang. The groove behind the palatovaginal canal: a landmark for identification of the palatovaginal canal [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 55-61.
[11] LI Ping. Endoscopy and electrocoagulation for obstinate epistaxis in 102 adults. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 88-89.
[12] HE Benchao, XU Bisheng, HU Jing, CHEN Xuqing, WANG Yu. Resection of styloid process through the anterolateral side of tonsil aided by endoscopy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 58-59.
[13] YANG Kai-yan. Treatment of maxillary sinus cyst by maxillary anterior dual puncture [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 49-50.
[14] LUO Xing-gu, LU Yong-tian, WANG Xiao-bin. Surgical treatment of parapharyngeal space tumors via endoscopic transoral approach：a retrospective analyses of 5 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 56-58.
[15] LI Xiu-guo. Tracheal CT reconstruction and Hopkins endoscopy in diagnosis and treatment of special tracheobronchial foreign body [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 71-73.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] ZHAO Li-min, NI Kun, WU Jia-li, CHEN Shu-mei, LI Xiao-yan. Etiology and treatment of inspiratory laryngeal stridor in infants[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 49 -51 .
[2] SHI Chun-sheng1, ZHANG Qing-quan2， WANG Qiang2, SUN Yan2, GE Chang-yi1. Application of flaps in the reconstruction of soft palate defects[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 86 -88 .
[3] ZHANG Ling1, SUN Chuan-yi1, XU An-ting2. 1 case of petrous apex cholesteatoma deafness patients[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 93 -94 .
[4] . [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 1 -3 .
[5] LUO Hui-xiu, FAN Chun-tao, DENG Yan-hua. Therapeutic effects of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 17 -20 .
[6] HAO Ying-juan1, YANG Qing-song2, ZHOU Yue-hua2, YI Sheng-ping1， ZHAI Chang-bin2. Characteristics of thin corneal flaps created with Wavelight FS200 femtosecond laser[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 26 -31 .
[7] WEN Hua-ming1, LI Hai-xiang2. Application of trianglar function method to calculate intra ocular lens power after myopic laser in situ keratomileusis[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 74 -76 .
[8] ZHU Jian， HE Qing-qing， ZHENG Lu-ming， FAN Zi-yi， ZHAO Guo-wei， HOU Lei， SHI Hou-bin. Clinical analysis for 57 re-operational cases of differentiated thyroid cancer[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 9 -12 .
[9] LI Shao-hua, SUN Yi-fan, LU Biao-qing. Application of double vascularized soft tissue flap in open radical mastoidectomy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 6 -7 .
[10] WEI Xi-jian1, YIN Rui-lan2, GUO Xing3. Expression of a proliferation-inducing ligand in laryngeal squamous cell carcinoma[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 14 -16 .
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