Endoscopy ; methods ; Humans ; Paranasal Sinuses ; surgery

Humans ; Maxilla ; Maxillary Sinus ; surgery ; Paranasal Sinuses

Chronic Disease ; Endoscopy ; Humans ; Paranasal Sinuses ; surgery ; Sinusitis ; surgery

Endoscopy ; Humans ; Nasal Surgical Procedures ; methods ; Paranasal Sinuses ; surgery

Endoscopy ; Humans ; Learning ; Nasal Surgical Procedures ; Paranasal Sinuses ; surgery

Bacteremia ; diagnosis ; Endoscopy ; adverse effects ; Humans ; Paranasal Sinuses ; microbiology ; surgery

Epistaxis is a common otorhinolaryngological emergency with complex etiological factors and varied clinical manifestations. The key to epistaxis treatment is accurate diagnosis and adequate hemostasis. Electrocoagulation is a reliable, safe and effective treatment for epistaxis. However, there are still several deficiencies in application of the commonly used electrocoagulation surgical products. This paper introduces a new type of radiofrequency head incorporating the dynamic circulatory functions of drip, irrigation, hemostasis and aspiration. We aim to achieve noninvasive, effective and accurate hemostasis in the treatment of epistaxis or nasal sinus surgery.
Humans ; Epistaxis/surgery* ; Electrocoagulation ; Treatment Outcome ; Paranasal Sinuses

OBJECTIVE: To investigate the efficacy of endoscopic sinus surgery (ESS)-based multidisciplinary therapy for patients with chronic rhinosinusitis (CRS), nasal polyps and bronchial asthma. METHOD: The study included 32 patients with CRS, nasal polyps and bronchial asthma who received ESS, besides surgery, who also used glucocorticoid inhalation, nasal spray and nasal irrigation perioperatively. The evaluation of the treatment was performed 3 years post after ESS. RESULT: In the 32 cases treated with ESS, 19 cases were cured, 9 cases were improved, 4 cases were inefficient by the treatment. The cure rate was 87.5%. The asthma symptoms were improved in 9 patients (P < 0.01), compared to 2 before surgery. The numbers of patients with improved symptoms were increased from 2 before the surgery to 9 after the surgery. CONCLUSION As the main treatment, endoscopic si- nus surgery was effective on CRS with asthma.
Asthma ; surgery ; Chronic Disease ; Endoscopy ; Humans ; Nasal Lavage ; Nasal Polyps ; surgery ; Paranasal Sinuses ; Rhinitis ; surgery ; Sinusitis

Adenocarcinoma/pathology* ; Gene Rearrangement ; Humans ; Nasal Cavity/pathology* ; Nose Neoplasms/surgery* ; Paranasal Sinus Neoplasms/surgery* ; Paranasal Sinuses/pathology*

OBJECTIVE: To investigate the correlation of preoperative anxiety and postoperative pain after endoscopic sinus surgery in chronic rhinosinusitis (CRS) with or without nasal polyps (CRSwNP or CRSsNP). METHOD: Subjects were 167 adults scheduled for functional endoscopic sinus surgery(FESS),in our hospital. preoperative issuing State-Trait Anxiety Inventory(STAI), carried anxiety scores. 8 h, 32 h, 56 h after surgery, recorded the pain score of Wong-Banker facial scale method (FPS-R). Analysed the correlation between preoperative anxiety score and the degree of postoperative pain. RESULT: Patients'preoperative S-AI mean score was 42. 45 ± 9. 98, T-AI mean score was 41. 81±8. 47. The mean pain score in patients 8 h after surgery was 6. 33±1. 74,32 h was 4.21±1.51, 56 h was 2.35±1.42. In the 8 h group postoperative pain were 0 cases with no pain, 10 cases of mild pain, moderate pain in 107 cases, 47 cases of severe pain, sharp pain in three cases. After 32 hours 9 cases with no pain, 97 cases of mild pain, moderate pain in 32 cases, 29 cases of severe pain, no sharp pain patients. 56 hours after surgery, there were 108 cases with no pain, mild pain in 44 cases, 15 cases of moderate pain. Preoperative S-AI and T-AI score and 8 h, 32 h, 56 h after surgery pain score had no significant correlation. CONCLUSION The pain of patients within 8 h after FESS is most evident,with the passage of time, the degree of pain gradually reduced. Preoperative anxiety and postoperative pain have no significant correlation.
Adult ; Anxiety ; Chronic Disease ; Endoscopy ; psychology ; Humans ; Nasal Polyps ; Pain, Postoperative ; Paranasal Sinuses ; surgery ; Sinusitis ; surgery