Evaluation of the efficacy of highly selective pterygoid canal neurotomy on chronic sinusitis with nasal polyps complicated with perennial allergic rhinitis
10.16066/j.1672-7002.2024.12.006
- VernacularTitle:高选择性翼管神经切断术对合并常年性变应性鼻炎的慢性鼻窦炎伴鼻息肉患者术后疗效分析
- Author:
Hao CHANG
1
;
Yanhui ZHOU
;
Yangyang LI
;
Hua LIU
Author Information
1. 河南科技大学临床医学院,河南科技大学第一附属医院耳鼻咽喉科,河南 洛阳 471003
- Keywords:
Rhinitis,Allergic,Perennial;
Sinusitis;
Nasal Polyps;
highly selective pterygoid canal neurotomy
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(12):775-779
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the clinical efficacy of highly selective pterygoid canal neurotomy in treating patients with chronic rhinosinusitis with nasal polyps(CRSwNP)and perennial allergic rhinitis(PAR).METHODS Select 80 patients with CRSwNP and PAR admitted to our hospital,and randomly divide them into a control group and a study group.The control group receives conventional functional endoscopic sinus surgery(FESS),while the study group receives FESS plus highly selective pterygoid canal neurotomy.Compare the pre-operative,post-operative 72-hour stress markers(eosinophils,C-reactive protein),post-operative 6-month efficacy evaluation[visual analog scale(VAS)score,rhinology quality of life questionnaire(RQLQ)score,modified Lunde-Kennedy endoscope score],and complication rate of the two groups.RESULTS Before surgery,there was no significant difference in eosinophil count,C-reactive protein,VAS score,RQLQ score,and modified Lunde-Kennedy endoscopic score between the two groups(P>0.05);after 72 hours of surgery,the eosinophil count in both groups was lower than that before surgery,and the difference was statistically significant(P<0.05);after 6 months of surgery,the VAS score,RQLQ score,and modified Lunde-Kennedy endoscopic score in both groups were lower than those before surgery,and the difference was statistically significant(P<0.05);the overall effective rate in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05);the incidence of postoperative complications in the study group was lower.CONCLUSION Highly selective pterygoid canal neurotomy is effective and safe in the treatment of patients with CRSwNP and PAR,and has clinical application value.
