Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 29-33.doi: 10.6040/j.issn.1673-3770.1.2019.060
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LIU Jia, FU Yong
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| [1] 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中国慢性鼻窦炎诊断和治疗指南(2018)[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(2): 81-100. doi:10.3760/cma.j.issn.1673-0860. 2019. 02. 001. [2] 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.儿童鼻窦炎诊断和治疗建议(2012)[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(3):177-179. [3] Jones NS. Acute and chronic sinusitis in children[J]. CurrOpinPulm Med, 2000, 6(3): 221-225. doi:10.1097/00063198-200005000-00010. [4] 张亚梅,张天宇. 实用小儿耳鼻咽喉科学[M]. 人民卫生出版社. 2011, 275-285. [5] 许庚, 史剑波, 文卫平. 儿童鼻窦炎规范化诊断和治疗[J]. 中国耳鼻咽喉头颈外科, 2005, 12(7): 407-410. doi:10.3969/j.issn.1672-7002. 2005.07.001. [6] Smart BA, Slavin RG. Rhinosinusitis and pediatric asthma[J]. Immunol Allergy Clin North Am, 2005, 25(1): 67-82. doi:10.1016/j.iac. 2004.09.002. [7] Cunningham MJ, Cunningham JM, Chiu EJ, et al. The health impact of chronic recurrent rhinosinusitis in children[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(11): 1363-1368. doi:10.1001/archotol. 126.11.1363. [8] Fokkens WJ, Lund VJ, Mullol J, et al. 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| [1] | HOU Jing, FANG Gaoli, ZHOU Bing. Formation mechanism and cyst fluid composition analysis of nasal mucosal cysts after functional endoscopy sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 1-5. |
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| [3] | LU Huan, HE Benchao, LIAO Hongming. Acute sinusitis combined with orbital cellulitis and intracranial infection in a child: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(1): 46-50. |
| [4] | LI Xiaoying, LI Yan, WU Yungang, ZHANG Hui, MA Linxiang, ZHAO Yufeng, SUN Juxing, ZHANG Jin. Nasal ameloblastoma: a case report and literature analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 30-34. |
| [5] | WAGN Zaixing, TANG Zhiyuan, ZHAO Hailiang, LIU Zhixian, LI Dingbo, LI Sheng, MA Shibo, LU Yongtian. Ten cases of chronic ethmoid sinusitis were accurately treated by electromagnetic navigation guided ethmoid sinus balloon angioplasty [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 61-68. |
| [6] | ZHANG Jinzhuang, YIN Pu, LIU Ning, WANG Jiangyu, JIA Yunfen, DING Yuanji, WU Yao. Comparative study of the Xiangju capsule and Kangfuxin liquid in the treatment of chronic rhinosinusitis with nasal polyps after functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 69-76. |
| [7] | This study was conducted to explore the preoperative risk factors for postoperative adhesion in patients with chronic rhinosinusitis(CRS)undergoing functional endoscopic sinus surgery(FESS), and to construct a risk score model to evaluate their predictive effect. MethodsA retrospective study was conducted on 323 patients with CRS who underwent FESS at our hospital between January 2015 and June 2018. The risk factors for postoperative adhesion were screened using a multivariate logistic regression analysis. The risk score was assigned according to the odds ratio(OR)value, and a receiver operating characteristic(ROC)curve was drawn to evaluate the predictive effect. ResultsPostoperative adhesion occurred in 35 patients(10.8%). The logistic regression results showed that concha bullosa, primary FESS, operative experience less than 10 years, and a history of middle turbinate resection were independent risk factors for postoperative adhesion in FESS. The OR values were 1.12(95% CI: 1.06-1.18), 3.87(95% CI: 2.23-5.51), 3.19(95% CI: 2.07-4.31), and 2.24(95% CI:1.95-2.53), respectively. The risk score model assigned 1 point for vesicular middle turbinate, 4 points for first time FESS, 3 points for operative experience less than 10 years, and 2 points for middle turbinate resection. The ROC curve analysis showed that the area under the curve(AUC)was 0.784(95% CI: 0.672-0.896, P<0.05). When 4 points were selected as the cut-off point, the Jordan index was the largest, with a sensitivity of 75.1% and a specificity of 73.6%. ConclusionThe incidence of postoperative adhesion in 323 patients with CRS who underwent FESS was 10.8%. The risk score model has certain reference value for predicting high-risk postoperative adhesion.. Potential risk factors and evaluation of a predictive risk score model for postoperative adhesion in functional endoscopic sinus surgeryCHEN Dong1, YU Hong2, LI Yang1, HUANG Qiang1, FANG Min1 1. Department of Otolaryngology, Jiangyou Peoples Hospital, Jiangyou 621700, Sichuan, China; 2. Department of Pathology, Jiangyou Peoples Hospital, Jiangyou 621700, Sichuan, ChinaAbstract:Objective〓 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 87-91. |
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| [11] | 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. |
| [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. |
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