Nasal endoscopic surgery under different window modes for chronic maxillary sinusitis

Abstract

Objective To explore the clinical efficacy and surgical way of nasal endoscopic surgery under different window modes for chronic maxillary sinusitis.Methods Selected 240 patients diagnosed with chronic maxillary sinusitis; and according to different treatment methods,divided them into the inferior meatus fenestration of maxillary sinus treatment group ( group Ⅰ ),the middle nasal meatus fenestration of maxillary sinus treatment group ( Group Ⅱ ),and dual path of maxillary sinus lesion curettage treatment group ( Ⅲ group ).Compared the clinical efficacy and surgical way between these 3 window modes of nasal endoscopic surgery.Results Nasal congestion,runny nose,olfactory decrease,headache and other symptoms almost completely disappeared in all patients.Followed up at regular interval using nasal endoscopy and sinus CT with coronal and horizontal scanning after treatment,46 cases were cured,and 30 cases improved,witha 57.5％ cure rate,among 80 cases of group Ⅰ ; 78 cases cured,and 30 cases improved,with a cure 65％ rate,among 120 cases of group Ⅱ ; 32 cases cured,and 8 cases improved,with a 80％ cure rate,among 40 cases of group Ⅲ.The clinical efficacy was significantly better in group Ⅲ than in groups Ⅰ and Ⅱ ( P＜ 0.05 ).Postoperative nasal cavity and sinuses end test score was significantly better in group Ⅲ than in group Ⅰ and Ⅱ,and was obviously better in all groups before than after the operation ( P＜ 0.05 ).Conclusions Nasal endoscopic surgery for chronic maxillary sinusitis is efficacious,has a good prognosis,and the choice of dual path fenestration of maxillary sinus lesion removal treatment can improve the cure rate and is worth popularizing clinically. Key words: Nasal endoscopy; Window modes; Chronic maxillary sinusitis