Clinical analysis of the correlation factors of chronic sinusitis osteitis.
- Author:
Lei CHENG
1
;
Zhenxiao HUANG
;
Qian HUANG
;
Chengshuo WANG
;
Shunjiu CUI
;
Feng LIN
;
Yan SUN
;
Bing ZHOU
2
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Chronic Disease; Factor Analysis, Statistical; Female; Humans; Male; Middle Aged; Osteitis; etiology; Rhinitis; etiology; Severity of Illness Index; Sinusitis; etiology; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2014;49(3):205-209
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyse the severity of chronic sinusitis osteitis and the correlation factors by global osteitis scoring scale(GOSS).
METHODSThree hundreds and thirty-four patients with chronic rhinosinusitis with or without nasal polyps(CRSwNP/CRSsNP) were enrolled prospectively in a large tertiary referral center. Preoperative sinus CT was analysed by PHILIPS MxLiteView software.Using grading and classification of GOSS, the association between GOSS and gender, age, smoking, CRS course, asthma, skin prick test(SPT), aspirin sensitive asthma (ASA), nasal polyp, Lund-Mackay, Lund-Kennedy, the number of previous sinus surgeries was examined.Finally a marker factors of severity of CRS osteitis was concluded.
RESULTSThere was no association between CRS osteitis and gender(P = 0.542), age(P = 0.092), smoking(P = 0.695), SPT(P = 0.182). Multiple liner regression analysis showed that there was no association between CRS osteitis and nasal polyps, ASA and asthma (all P > 0.05). The severity of CRS osteitis was correlated with the number of previous sinus surgeries, Lund-Mackay scores, Lund-Kennedy scores, CRS course (r1 = 0.528, r2 = 0.170, r3 = 0.193, r4 = 0.146, respectively, all P < 0.01).
CONCLUSIONSOsteitis is an important reason of refractory chronic rhinosinusitis. The number of previous sinus surgeries can be used as an important marker for the severity of the osteitis.