Comparison of efficacy and safety of three different surgical methods for nasal vestibular cyst / 中国基层医药

ABSTRACT

Objective To explore the efficacy and safety of endoscopic nasal vestibule cysts,lip gingival trench path nasal vestibule excision and low temperature plasma radiofrequency ablation under nasal endoscope in the treatment of nasal vestibule cyst.Methods From January 2013 to December 2017,ninety patients with nasal vestibule cyst admitted in Taiyuan Central Hospital were selected. According to different surgical methods,the patients were divided into nasal endoscope nasal vestibule cyst group( A group,26 cases),cleft lip gingival vestibule cyst excision group(B group,36 cases),low temperature plasma radiofrequency ablation group under nasal endoscopy( C group, 28 cases). The efficacy and safety of the three types of operation were compared. Results The operation time [(15.5 ± 3.6) min] and wound healing time [( 2. 3 ± 0. 9 ) d] in A group and the operation time [( 16. 3 ± 4.5)min],wound healing time[(2.1 ± 0.5)d] in C group were all significantly shorter than those in B group,the differences were statistically significant(t=5.268,4.698,5.624,4.267,all P<0.05).The amount of bleeding in C group[(9.3 ± 0.6)mL] was the least,followed by A group[(12.2 ± 1.7)mL],and the difference among the three groups was statistically significant(t=8.256,7.254,all P<0.05).The postoperative wound VAS score among the three groups was statistically significant(F=12.674,P<0.001),and the VAS score in C group[(1.6 ± 0.7)points]<A group[(3.2 ± 1.5)points]<B group[(4.9 ± 2.3)points],the differences among the three groups were statistically significant(t=4.256,3.998,2.989,all P<0.05).The degree of facial swelling in C group was mild(39.29% ) and moderate(60.71% ),the differences were statistically significant compared with those in A group and B group(χ2 =5.226,11.651,all P<0.05).The incidence rate of complications in C group (0.00% ) was significantly lower than that in A group(11.54% ) and B group (16.67% ),the difference was statistically significant ( χ2 =3.934, P < 0.05).Conclusion Compared with the endoscopic nasal vestibule cysts, lip gingival trench path nasal vestibule excision,the low temperature plasma ablation under nasal endoscopy in the treatment of nasal vestibular cyst has the best efficacy,it is safe,less painful,and not easy to relapse.