JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (2): 44-47.doi: 10.6040/j.issn.1673-3770.0.2014.306

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Therapeutic effect of uncinectomy through the anterior nasal fontanelle in endoscopic sinus surgery

LIN Xi, LIN Chang, ZHANG Rong   

  1. Department of Otolaryngology, First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, Fujian, China
  • Received:2014-09-09 Online:2015-04-16 Published:2015-04-16

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Abstract: Objective To observe the therapeutic effect of uncinectomy through the anterior nasal fontanelle in endoscopic sinus surgery. Methods Sixty patients diagnosed as chronic ethmomaxillary sinusitis were divided into two groups. The research group had 31 patients(52 sides) and the control group had 29 patients(50 sides). The research group received uncinectomy via the anterior nasal fontanelle while the control group received the traditional uncinectomy by Messerklinger. VAS score, Lund-Kennedy score, mucociliary transport time(MTT) and the activated charcoal powder method were used to observe the therapeutic effects. Results Twelve months after the operation, the VAS score, Lund-Kennedy score and the MTT of the two groups were statistically different (P<0.05). Activated charcoal powder was all drained out from the inferior edge in the research group, while there was powder stacked in the sinuses in 8 sides of the control group. Conclusion Uncinectomy through the anterior nasal fontanelle is a more effective method for chronic sinusitis and can achieve better recovery of the mucocilliary transport system than the uncinectomy by Messerklinger does.

Key words: Mucocilliary transport system, Sinusitis, Anterior fontanelle, Endoscopic surgical procedures, operative, Uncinectomy

CLC Number: 

  • R765.9
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