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

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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

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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
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