JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (5): 85-87.doi: 10.6040/j.issn.1673-3770.0.2016.182

Previous Articles     Next Articles

Packing material on outcomes of sinus mucosa with chronic rhinosinusitis after endoscopic sinus surgery.

XU Haibo, HONG Yanli, LI Zhaosheng, XU Zhenyue   

  1. Department of Otolaryngology, Zhangzhou Hospital Affiliated of Fujian Medical University, Zhangzhou 363000, Fujian, China
  • Received:2016-04-24 Online:2016-10-20 Published:2016-10-20

PDF (PC)

909

Abstract: Objective To explore the effect of different packing materials on sinus mucosa with chronic rhinosinusitis after endoscopic sinus surgery. Methods A total of 167 patients with chronic rhinosinusitis were divided into the fragmentable nasal dressing group A(n=93)and the swell sponge group B(n=74). Using Lund-Mackay CT scoring system, visual analogue scales(VAS)and Lund-Kennedy endoscopic scoring system, all patients were assessed in recover in pre-operation period, and the second week, the fourth week, and the twelfth week after the surgery. The data were analyzed by SPSS18.0 statistics software to compare the differences of outcomes of sinus mucosa. Results There was no difference about Lund-Mackay CT scores, the VAS scores and Lund-Kennedy endoscopic scores in two groups before surgery(P>0.05). About Lund-Kennedy endoscopic scoring, the scores of the two groups presented significant difference(P<0.01). Comparing with the scores of the second week, the scores of group A of the fourth week, and the twelfth week were lower than those of the group B(P<0.01). The VAS scores of group A were all significantly different from those of group B at same period(P<0.01), and the scores of group A at the post-operative 4 and 12 week were lower than those of group B. 5 cases of group A and 7 cases of group B had sinus region oedema seriously, ves hyperplasy and polypus recurrence. After individualized treatment, sinus mucosa presented recovery tendency. Conclusion Applying of fragmentable nasal dressing can promote preferable outcomes of sinus mucosa with chronic rhinosinusitis after endoscopic sinus surgery.

Key words: Endoscopic sinus surgery, Nasal pacing, Sinus mucosa, Rhinosinusitis, chronic

CLC Number: 

  • R765.4
[1] Senior B A, Kennedy D W, Tanabodee J, et al. Long-term results of functional endoscopic sinus surgery[J]. Laryngoscope, 1998, 108(1):151-157.
[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.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(20):92-94.
[3] Lund V J, Mackay I S. Staging in rhinosinusitis[J]. Rhinology, 1993, 107(1):183-184.
[4] Lund V J, Kennedy D W. Quantification for staging sinusitis. The staging and therapy group[J]. Ann Otol Rhinol Laryngol Supple, 1995, 167:17-21.
[5] 许庚,李源,谢民强,等.功能性内窥镜鼻窦手术后术腔黏膜转归阶段的划分及处理原则[J].中华耳鼻咽喉头颈外科杂志,1999,34(5):302-305.
[6] 左可军,李华斌,史剑波,等.功能性内镜鼻窦手术后不同鼻窦黏膜的转归规律[J].中华耳鼻咽喉头颈外科杂志,2012,47(5):368-372. ZUO Kejun, LI Huabin, SHI Jianbo, et al. Regularity of nasal mucous transitionary course of different sinuses after functional endoscopic sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2012, 47(5):368-372.
[7] 熊观霞,詹杰民,江广理,等.功能性鼻窦内镜术后对鼻腔鼻窦气流的影响[J].中山大学学报(医学科学版),2009,30(2):205-210. XIONG Guanxia, ZHAN Jiemin, JIANG Guangli, et al. Influence of functional endoscopic sinus surgery on airflow of postoperative nasal cavity and sinuses[J]. J Sun Yatsen Univ(Med Sci), 2009, 30(2):205-210.
[1] GUO Rongchang, LIU Qinghang, WANG Hongzeng, SUN Shujun. Through the orbit with sinus huge foreign bodies embedded in the base of the skull: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 135-141.
[2] 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.
[3] CHEN Xingxue, ZHANG Guangling, WU Tianyi, WANG Weiwei, SUN Zhanwei, LI Shichao, WANG Guangke. Analysis of anti-IL-4Rα monoclonal antibody and endoscopic sinus surgery in the treatment of eosinophilic chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 43-54.
[4] YUAN Yue, PANG Wenhui, CHEN Min, FU Shengyao, YU Longgang, SUN Yubo, LI Lingling. Clinical characteristics of mucormycotic rhinosinusitis in 25 cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 102-107.
[5] LI Hao, YANG Liyuan, ZHANG Shoukai. Short-term clinical observation of drugsustained-release stent implantation in patients with refractory sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 38-42.
[6] 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.
[7] WANG Xiaoai, ZHANG Qianqian, CHENG Xiangyu, LI Zhipeng, ZHANG Weitian, YE Haibo. A clinical efficacy analysis of vidian neurectomy in the treatment of type 2 chronic rhinosinusitis with allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 42-49.
[8] 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.
[9] WANG Huan, HU Li,YU Hongmeng. Research progress of olfactory dysfunction in chronic rhinosinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 43-49.
[10] CAO Xuan,XIAO Xuping, LI Yunqiu. Advances in the application of hyaluronic acid in chronic sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 104-109.
[11] QIN Ming, SUN Zhanwei, WANG Weiwei, LI Shichao, WU Tianyi, WANG Guangke. Efficacy of alkaline isotonic saline in laryngopharyngeal reflux symptom-positive or finding score-positive patients with chronic rhinosinusitis following endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 147-153.
[12] CHEN Shiqin, WEI Pingcun, HU Yunlong, HU Jinwang. Effects of three different nasal uses of glucocorticoid on mucosal outcome after endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 195-201.
[13] QIN He, WAN Baogang, WANG Hongli, ZHAO Benqi. Computed tomography-based preoperative diagnosis of fungal ball sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 32-35.
[14] 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.
[15] 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 Peoples Hospital, Jiangyou 621700, Sichuan, China; 2. Department of Pathology, Jiangyou Peoples Hospital, Jiangyou 621700, Sichuan, ChinaAbstract:Objective〓 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 87-91.
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