Prospective study on the impact of nasal function after Draf Ⅲ frontal sinus surgery
10.3760/cma.j.issn.1673-0860.2014.09.003
- VernacularTitle:Draf Ⅲ型额窦手术对鼻腔功能影响的前瞻性研究
- Author:
Cheng LI
1
;
Qian HUANG
;
Shunjiu CUI
;
Ting YE
;
Zhenxiao HUANG
;
Fei HE
;
Bing ZHOU
Author Information
1. 100730,首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室
- Keywords:
Sinusitis;
Frontal sinus;
Otorhinolaryngologic surgical procedures;
Smell;
Rhinometry,acoustic;
Draf Ⅲ frontal sinus surgery;
Endoscopic modified Lothrop procedure
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(9):711-716
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of nasal function after Draf Ⅲ frontal sinus surgery (Draf Ⅲ) or the modified endoscopic Lothrop procedure (EMLP).Methods It was a prospective study with self-control.The pre-operative clinical data of 30 patients (from 2010 to 2013,Beijing Tongren Hospital) who underwent Draf Ⅲ surgery,with the testing results of T&T olfactory testing,acoustic rhinometry and rhinomanometry before and 1 year after operation in these patients were collected in this study.All patients complete visual analogue scale (VAS),a telephone follow-up questionnaire of olfactory function used by Wormald and Lund-Kenndy endoscopy score simultaneously with testings above.Most of 30 patients were chronic rhinosinusitis (CRS) with recurrent nasal polyps or systemic risk factors like asthma and aspirin-intolerance,called refractory rhinosinusitis.SPSS 19.0 software was used to analyze the data.Results 89.3％ (25/28) of these patients improved in nasal obstruction 1 year after operation,and the cure rats was 57.1％ (16/28,VAS =0).The level of improvement in nasal obstruction was significantly correlated with pre-operative nasal obstruction severity (r =0.909,P ＜ 0.01).76.7％ (23/30) improved in olfactory function 1 year after operation in all 30 patients,and 88.2％ improved in patients with nasal polyps(CRSwNP).It was also found that olfactory function 1 year after operation was significantly related to Lund-Kennedy endoscopy scores (r =0.671,P ＜0.01),but was not correlated with VAS scores of nasal obstruction (P =0.349).Conclusion The Draf Ⅲ frontal sinus surgery has a significantly positive effect on olfactory and ventilation function post-operatively,especially on refractory rhinosinusitis.
