Alsarraf R, Kriet J d, Weymuller E A
Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, USA.
Otolaryngol Head Neck Surg. 1999 Oct;121(4):435-40. doi: 10.1016/S0194-5998(99)70234-2.
Frontal sinusitis and its treatment remain controversial. Although several authors have evaluated the results of traditional endoscopic sinus surgery, few have assessed patient outcomes and quality of life after osteoplastic frontal sinus obliteration. This retrospective study evaluates these outcomes in a postoperative review and questionnaire of 39 patients treated at the University of Washington from 1991 to 1994. Most patients were satisfied with the results of this procedure, had significant improvements in their Chronic Sinusitis Survey scores, and reported decreased clinic visits and antibiotic use. However, approximately half thought nonsurgical treatments were more effective and continued to require other medical therapy; 30% required additional surgical intervention. Such outcomes may reflect the ineffectiveness of frontal sinus obliteration to treat the chronic symptoms of patients affected by the refractory underlying disease process of chronic sinusitis; however, despite these mixed results, we found a significant decrease in annual days of lost work or activity in this study group after osteoplastic obliteration.
额窦炎及其治疗仍存在争议。尽管有几位作者评估了传统内镜鼻窦手术的结果，但很少有人评估骨成形性额窦闭塞术后的患者预后和生活质量。这项回顾性研究通过对1991年至1994年在华盛顿大学接受治疗的39例患者进行术后复查和问卷调查来评估这些结果。大多数患者对该手术的结果感到满意，慢性鼻窦炎调查评分有显著改善，并报告门诊就诊次数和抗生素使用减少。然而，约一半的患者认为非手术治疗更有效，并且继续需要其他药物治疗；30%的患者需要额外的手术干预。这些结果可能反映了额窦闭塞对于治疗受慢性鼻窦炎难治性基础疾病过程影响的患者的慢性症状无效；然而，尽管结果参差不齐，但我们发现在该研究组中，骨成形性闭塞术后每年的误工或活动天数显著减少。
