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@#Objective To explore the efficacy of modified three-line tension reduction and precise delayed tamponade in nasal septum correction.Methods From January 2021 to January 2023,a total of 94 patients who underwent nasal septum deviation surgery in Department of Otolaryngology,Hangzhou Hospital of Traditional Chinese Medicine,Zhejiang University of Traditional Chinese Medicine were randomly divided into group A and group B,with 47 cases in each group.Patients in group A were treated with traditional nasal septum three-line tension reduction;Patients in group B were treated with modified three-line tension reduction of nasal septum,and iodoform gauze was accurately filled in the deviated part after bilateral nasal tamponade was removed for 2 weeks.The operation time,intraoperative nasal septum mucosal injury and intraoperative blood loss were compared between the two groups.Subjective symptoms were scored by nasal obstruction symptom evaluation(NOSE).Nasal septum deviation was evaluated by nasal endoscopy.Results The number of cases of mucosal injury in group A was more than that in group B;The operation time of group A was longer than that of group B,and the difference was statistically significant(P<0.05).The amount of bleeding in group A was more than that in group B,and the difference was statistically significant(P<0.05).The nasal obstruction symptoms of two groups were improved after operation,and the improvement effect of nasal obstruction symptoms in group B was better,the difference was statistically significant(P<0.05).The deviation of nasal septum in both groups was improved,and the improvement of nasal septum shaping in group B was better than that in group A,the difference was statistically significant(P<0.05).Conclusion The modified three-line tension reduction under nasal endoscopy can achieve the same effect as the traditional three-line tension reduction nasal septum correction.At the same time,it can shorten the operation time,reduce the amount of bleeding,reduce the risk of nasal septum perforation,and accurately delay the micro-filling for about 2 weeks.It can avoid the elastic retraction of nasal septum cartilage and improve the surgical effect.
RESUMEN
Objective To study the effects of the pediatric sinusitis patients using furoic acid momethasone nasal spray after the treatment.Methods 60 pediatric sinusitis patients were divided into the two groups by the random number table method,gien the control group conventional treatment,and the observational group furoic acid momethasone,pediatric sinusitis nasal spray treatment,then the clinical effect and safety of the two groups of children were observe dand compared.Results After the treatment of the two groups,the observational group total effective rate(96.67%)was significantly higher than that of the control group (70.00%)(χ2 =10.23,P <0.05 ),the incidence of adverse reactions(3.33%)in children with significantly less than the control group(33.33%),which was statistically significant (χ2 =12.48,P <0.05 ).The observational group with bacterial clearance rate was significantly higher than that of the control group(90.91%)in children with bacterial clearance rate(61.90%), which was statistically significant(χ2 =13.26,P<0.05).Conclusion Using mometasone furoate nasal spray in the treatment of sinusitis in children can improve the total efficiency,and with low incidence of adverse reactions,which can effectively improve the clearance rate of bacteria,beneficial to restore the health of children,safe and effective and should be widely used in clinical practice.