ABSTRACT
Objective To explore the clinical effect of nasal endoscope antrostomy treatment of maxillary sinus cyst through two approaches. Methods Eighty patients with maxillary sinus cyst were selected. The patients were divided into experiment group and control group according to the treatment method. Experiment group (40 cases) was treated through windowing middle meatus maxillary sinus associated with antrostomy of inferior nasal meatus approach. Control group (40 cases) was treated through antrostomy of inferior nasal meatus approach. On the basis of the review, the local state of the nasal endoscope and the CT examination of the sinus and the nasal sinuses, the patients were evaluated comprehensively. Results The recovery rate in experiment group was significantly higher than that in control group:97.5%(39/40) vs. 77.5% (31/40), and the complication rate in experiment group was significantly lower than that in control group:10.0%(4/40) vs. 35.0%(14/40). And there were statistical differences ( P<0.01). Conclusions The approach of windowing middle meatus maxillary sinus associated with antrostomy of inferior nasal meatus in the treatment of maxillary sinus cyst in nasal endoscope has wide field and no dead ends. Moreover, the lesions can be cleared completely. The procedure can reduce the recurrence. The complication rate is lower than the antrostomy of inferior nasal meatus approach.
ABSTRACT
Objective To explore the relationship between different treatment methods of hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation and prognosis.Methods Eighty patients with chronic rhinosinusitis and rhinopolyp were divided into observation group and control group byrandom digits table method with 40 cases each.Expanding hiatus sinus maxillaris were given according to the modality of hiatus sinus maxillaris and lesion of maxillaris sinus in observation group.The patients in control group were given expanding hiatus sinus maxillaris.The opening rate of hiatus sinus maxillaris and postoperative complication were observed.Results All the patients were followed up ≥ 1 year.The opening rate of hiatus sinus maxillaris in observation group (97.5％,39/40) was significantly higher than that in control group (77.5％,31/40),the rate of postoperative complication in observation group (5.0％,2/40) was significantly lower than that in control group (27.5％,11/40),and there were statistical differences (P ＜ 0.01).Conclusion Whether or not to enlarge hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation should base on intraoperative specific situation,and it can reduce intraoperative injury,prevent the shutting of sinus and postoperative complication.