Efficacy analysis of modified endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps complicated by allergic rhinitis
- VernacularTitle:改良内镜鼻窦手术对合并变应性鼻炎的慢性鼻窦炎伴鼻息肉的疗效分析
- Author:
Xianmei WEI
1
;
Qingzhao ZHANG
;
Chenjie YU
;
Xinyan CUI
Author Information
- Keywords: chronic rhinosinusitis with nasal polyps; allergic rhinitis; modified endoscopic sinus surgery; middle turbinate resection; mucosal outcome; Visual Analog Scale; sino-nasal out-come test-20; quality of life
- From: Journal of Clinical Medicine in Practice 2025;29(14):52-55
- CountryChina
- Language:Chinese
- Abstract: Objective To observe the efficacy of modified endoscopic sinus surgery(ESS)in treatment of chronic rhinosinusitis with nasal polyps(CRSwNP)complicated by allergic rhinitis(AR).Methods Forty patients with CRSwNP and perennial AR who were scheduled for ESS were divided into study group and control group,with 20 cases in each group.The control group was treated with conventional ESS,while the study group underwent resection of a large part of the middle turbi-nate on the basis of ESS to enhance middle meatal drainage.The postoperative mucosal outcomes,complications,as well as the Visual Analog Scale(VAS),sino-nasal outcome test-20(SNOT-20),and nasal endoscopic Lund-Kennedy scores before surgery,at 3 months after surgery,and at 1 year af-ter surgery were compared between the two groups.Results In the control group,there were 3 cases of local adhesion between the displaced middle turbinate and the lateral nasal wall at 3 months after surgery,and 10 cases of middle turbinate edema at 1 year after surgery,including 4 cases with local polypoid changes in the middle turbinate and polypoid hyperplasia in the ethmoid sinus and frontal re-cess regions.No complications were observed in the study group,and the epithelialization of the surgical area was good.Moreover,the nasal congestion score,olfactory score,and Lund-Kennedy score at 1 year after surgery in the study group were lower than those in the control group,with statistically significant differences(P＜0.05).Conclusion Modified ESS can significantly improve nasal con-gestion and olfactory symptoms in patients with CRSwNP complicated by perennial AR and effective-ly enhance their quality of life.
