Therapeutic effect of nasal endoscopesurgery on chronic sinusitis and nasalpolyps in geriatric patients

Abstract

Objective To investigate the therapeutic effect of nasal endoscope surgery on chronic sinusitis and nasal polyps in geriatric patients. Methods A total of 132 geriatric patients with chronic sinusitis and nasalpolyps underwent nasal endoscope surgery in our hospital from Jun. 2010 to Jun. 2014, and the therapeutic effect was investigated. Results In the 132 cases, 92 cases were cured (69.7%). Therapeutic effects were excellent in 33 cases (25.0%), and invalid in 7 cases (5.3%). The total effective rate was 94.7%. The total effective rate was 100.0% in type Ⅰ, 97.4% in type Ⅱ and 84.8% in type Ⅲ. The total effective rate was higher in type Ⅰ and Ⅱ than in type Ⅲ (χ2=3.506 and 6.218, P=0.035 and 0.012). Local complications occurred in 10 cases (7.6%), including 1 case with nasolacrimal duct injury, 2 cases with orbital hematoma, 5 cases with nasal adhesion, 1 case with surgical cavity hemorrhage and 1 case with sinus atresia. Conclusions The therapeutic effects of nasal endoscopesurgery on chronic sinusitis and nasalpolyps are good in geriatric patients, especially in treating chronic sinusitis and nasalpolyps of type I and II, and the postoperative complications are less, which is worth clinical application. Key words: Natural orifice endoscopic surgery; Sinusitis; Nasalpolyps