JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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CHEN Yu-wu,GU Dong-sheng,WANG Tian-sheng,WU Chun-ping   

  • Received:2005-10-20 Revised:1900-01-01 Online:2006-12-24 Published:2006-12-24
  • Contact: CHEN Yu-wu

Abstract: To observe the response of endoscopic surgery（ESS）for chronic sinusitis. Methods： A total of 468 patients with chronic nasal sinusitis: 106 of Ⅰtype, 228 ofⅡtype and 134 of Ⅲ type were enrolled in this study. Before operation, all had taken antibiotics, steroid and hormone. After operation, all were followed up and disposed of the crust cyst, small polyp and granulation tissue in time. Results： A total of 350 patients （74.79%）were cured, 96（20.51%）had response， and 22 （4.7%） had no response. The response rate was 95.3%. The main intraoperative complications were hemorrhage and injury of the orbital cavity, and the postoperative complication was adhesion of nasal cavity. Conclusion： ESS has advantages of less injury and good response. Sufficient preparation, operative technique, entire debridement of the focus, correct treatment for middle turbinate and prescriptive following up are the cores for preventing the complications and improving the response.

Key words: Endoscopy, Sinusitis, Treatment outcome

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