Evaluation of the efficacy of endoscopic posterior nasal neurectomy with pharyngeal neurectomy of allergic rhinitis combined with chronic rhinosinusitis with nasal polyps.
10.13201/j.issn.2096-7993.2023.05.008
- Author:
Qian ZHOU
1
;
Yu GAO
1
;
Chunchen PAN
1
;
Xianguang LI
1
;
Fei YIN
1
;
Wei GAO
1
;
Tao GUO
1
;
Jingwu SUN
1
;
Yinfeng WANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery，Affiliated Provincial Hospital of Anhui Medical University，Hefei，230001，China.
- Publication Type:Journal Article
- Keywords:
allergic rhinitis;
efficacy analysis;
posterior nasal neurectomy;
rhinosinusitis
- MeSH:
Humans;
Nasal Polyps/surgery*;
Rhinitis, Allergic/surgery*;
Sinusitis/surgery*;
Rhinitis, Allergic, Perennial;
Endoscopy;
Denervation;
Chronic Disease;
Rhinitis/complications*
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2023;37(5):360-364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of posterior nasal neurectomy（PNN） with pharyngeal neurectomy （PN） on chronic sinusitis with nasal polyps （CRSwNP）complicated with perennial allergic rhinitis （PAR）. Methods:83 patients with perennial allergic rhinitis combined with chronic group-wide sinusitis with nasal polyps who attended our hospital from July 2020 to July 2021 were selected. All patients underwent conventional functional endoscopic sinusitis surgery（FESS）+ nasal polypectomy. Patients were divided according to whether they underwent PNN+PN. 38 cases in the experimental group underwent FESS combined with PNN+PN; 44 cases in the control group underwent conventional FESS alone. All patients underwent the VAS, RQLQ, and MLK before treatment, and at 6 months and 1 year after surgery. Meanwhile, other relevant data were collected and the preoperative and postoperative follow-up data were collected and analyzed to assess the differences between the two groups. Results:The total postoperative follow-up period was 1 year. The recurrence rate of nasal polyps at 1 year postoperatively and the nasal congestion VAS score at 6 months postoperatively were not statistically significant in the two groups（P>0.05）. However, the patients in the experimental group had statistically significantly lower effusion and sneezing VAS scores, MLK endoscopy scores and RQLQ scores at 6 months and 1 year postoperatively, and nasal congestion VAS scores at 1 year postoperatively compared to the control group（P<0.05）. Conclusion:For patients with perennial AR complicated with CRSwNP, the combination of the PNN+PN in FESS can significantly improve the short-term curative effect, and PNN+PN is a safe and effective surgical treatment.
