[Evaluation of the efficacy of endoscopic posterior nasal neurectomy with pharyngeal neurectomy of allergic rhinitis combined with chronic rhinosinusitis with nasal polyps].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 37(5): 360-364, 2023 May.
Article
en Zh
| MEDLINE
| ID: mdl-37138398
ABSTRACT
Objective:
To investigate the effect of posterior nasal neurectomyï¼PNNï¼ with pharyngeal neurectomy ï¼PNï¼ on chronic sinusitis with nasal polyps ï¼CRSwNPï¼complicated with perennial allergic rhinitis ï¼PARï¼.Methods:
83 patients with perennial allergic rhinitis combined with chronic group-wide sinusitis with nasal polyps who attended our hospital from July 2020 to July 2021 were selected. All patients underwent conventional functional endoscopic sinusitis surgeryï¼FESSï¼+ nasal polypectomy. Patients were divided according to whether they underwent PNN+PN. 38 cases in the experimental group underwent FESS combined with PNN+PN; 44 cases in the control group underwent conventional FESS alone. All patients underwent the VAS, RQLQ, and MLK before treatment, and at 6 months and 1 year after surgery. Meanwhile, other relevant data were collected and the preoperative and postoperative follow-up data were collected and analyzed to assess the differences between the two groups.Results:
The total postoperative follow-up period was 1 year. The recurrence rate of nasal polyps at 1 year postoperatively and the nasal congestion VAS score at 6 months postoperatively were not statistically significant in the two groupsï¼P>0.05ï¼. However, the patients in the experimental group had statistically significantly lower effusion and sneezing VAS scores, MLK endoscopy scores and RQLQ scores at 6 months and 1 year postoperatively, and nasal congestion VAS scores at 1 year postoperatively compared to the control groupï¼P<0.05ï¼.Conclusion:
For patients with perennial AR complicated with CRSwNP, the combination of the PNN+PN in FESS can significantly improve the short-term curative effect, and PNN+PN is a safe and effective surgical treatment.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Sinusitis
/
Rinitis
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Rinitis Alérgica Perenne
/
Pólipos Nasales
/
Rinitis Alérgica
Límite:
Humans
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Año:
2023
Tipo del documento:
Article