JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (1): 47-50.doi: 10.6040/j.issn.1673-3770.0.2015.299

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Application of modified naso-pharyngeal tube in postoperative packing of FESS.

PANG Yufeng, GONG Jingrong, ZOU Yang, HUANG Juan   

  1. Department of Otorhinolaryngology, The Fifth Peoples Hospital of Shanghai, Fudan University, Shanghai 200240, China
  • Received:2015-07-19 Online:2016-02-16 Published:2016-02-16

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Abstract: Objective To study the improvement of postoperative discomfort by application of modified naso-pharyngeal tube when nasal packing after functional endoscopic sinus surgery(FESS). Methods A total of 162 patients undergone bilateral FESS in department of otolaryngology from January 2013 to March 2015 were enrolled in this study. 83 patients of them had been given nasal packing with modified naso-pharyngeal tube after operation(the experimental group), while 79 of them were not given naso-pahryngeal tube(the control group). All were recorded clinical indexes including operation time, and were evaluated and recorded by Visual Analogue Scale(VAS)for symptoms such as post-packing headache, nasal distending pain, sleep condition and pharyngeal discomfort. Results Post-operative 24 h VAS scores of the two groups showed the experimental group had better outcome in headache, nasal distending pain and sleep condition than the control group(P<0.05). While for pharyngeal discomfort, there were no statistically significant differences between the two groups. Conclusion Post-operative application of modified nasopharyngeal tube of FESS can effectively improve clinical symptoms such as postoperative pain.

Key words: Nasal packing, Nasopharyngeal airway, Pain, Functional endoscopic sinus surgery

CLC Number: 

  • R765.9
[1] 许庚,史剑波.功能性内镜鼻窦手术的核心技术[J].中华耳鼻咽喉头颈外科杂志,2009,44(7):529-531. XU Geng, SHI Jianbo. Key technique of functional endoscpoic sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surg, 2009, 44(7):529-531.
[2] 范海生,王峥.鼻咽通气管在鼻中隔偏曲矫正术后应用的临床研究[J].临床耳鼻咽喉头颈外科杂志,2011,25(14):59-61. FAN Haisheng, WANG Zheng. The clinical application of nasopharyngeal tube after nasal septum deviation[J]. J Clin Otorhinolaryngol Head Neck Surg, 2011, 25(14):59-61.
[3] 马宝华,魏永祥.硅胶管鼻腔填塞法及其血气分析[J].中华耳鼻咽喉颅底外科杂志,2000,6(2):110. MA Baohua, WEI Yongxiang. Nasal packing method and blood gas analysis of silicone tube[J]. Chin J Otorhinolarynol Skull Base Surg, 2000, 6(2):110.
[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] Weber R K.Nasal packing and stenting[J]. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery, 2009, 5(88):139-155.
[6] 钱备,朱玉芳,胡继云.五种鼻腔填塞材料的疗效分析及选择[J].上海医学,2007,30(2):107-110. QIAN Bei, ZHU Yufang, HU Jiyun. Efficacy analysis and choice of five kinds of nasal packing materials[J]. Shanghai Med J, 2007, 30(2):107-110.
[7] 汪光明,段青昀.自制鼻腔通气管在鼻腔填塞中的应用[J].中国中西医结合耳鼻咽喉科杂志,2013,21(2):149-150. WANG Guangming, DUAN Qingyun. Application of self-made nasal cavity ventilation duct in nasal packing[J]. Chin J Otorhinolaryngol Int Med, 2013, 21(2):149-150.
[8] 马敬,黄小段,蔺文魁,等.自制鼻咽通气管在鼻中隔穿孔复位术鼻腔填塞中的应用[J].临床误诊误治,2012,24(12):18-20. MA Jing, HUANG Xiaoduan, LIN Wenkui, et al. Application of homemade nasopharyngeal airway in the nasal septum nasopharyngeal repair of nasal packing[J]. Clin Misdiag Misther, 2012, 24(12):18-20.
[9] 韩红蕾,刘剑锋,杨大章,等.一种新型简易鼻腔通气管在鼻内镜手术后的应用[J].中国耳鼻咽喉头颈外科,2014,21(7):342-345. HAN Honglei, LIU Jianfeng, YANG Dazhang, et al. Application of a new,simple nasal ventilation tube after nasal endoscopic surgery[J]. Chin Arch Otolaryngol Head Neck Surg, 2014, 21(7):342-345.
[10] Zeyyan E, Bajin M D, Aytemir K, et al. The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway[J]. Laryngoscope, 2010, 120(11):2325-2330.
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