Effect of modified incision of nasal septum on allergic rhinitis and its effect on nasal ventilation and quality of life

Abstract

Objective To investigate the effect of modified incision of nasal septum on allergic rhinitis (AR) and its effect on nasal ventilation and the quality of life of patients. Methods Sixty-nine cases of allergic rhinitis were divided into control group (34 cases) and study group (35 cases) according to the surgical procedure. Patients in the study group were treated by modified incision of nasal septum, and patients in the control group were treated by conventional Killian incision. The statistical data (operation time, intraoperative blood loss, intraoperative exposure and mucosal integrity), clinical effect, complications after operation of the two groups were compared, and the clinical symptoms of visual analogue scale (VAS), nasal ventilation function [nasal resistance (NR) and minimum nasal cross-sectional area (NMCA)] and quality of life scores between the two groups before and after surgery were compared. Results Compared with the control group, the study group had shorter operation time, less intraoperative blood loss, and better exposure and mucosal integrity, the differences were statistically significant (P 0.05); after operation, NMCA and NR of both groups improved, and NMCA of the study group was higher than that of the control group, NR was lower than that of the control group, the differences were statistically significant (P 0.05); after operation, quality of life scores of both groups decreased, and the score of eye, nose, non nasocular symptoms and sleep disorder of the study group were lower than those of the control group, the differences were statistically significant (P<0.05). The incidence of complications in the study group (32.35%)was lower than that in the control group (11.43%), and the difference was statistically significant (P<0.05). Conclusions The modified incision of nasal septum applied to AR patients has short operation time, less intraoperative blood loss, good intraoperative exposure and mucosal integrity, and obvious effect, which can effectively relieve clinical symptoms and nasal ventilation function of patients, improve the quality of life, and has a certain of safety and important significance in clinical treatment. Key words: Modified incision nasal septum surgery; Allergic rhinitis; Nasal ventilation; Quality of life