Jakobsen J, Svendstrup F
Odense University Hospital, Department of Otorhinolaryngology, Head and Neck Surgery, Denmark.
Acta Otolaryngol Suppl. 2000;543:158-61. doi: 10.1080/000164800454279.
From 1989 to 1999, 237 consecutive patients with chronic sinusitis and/or nasal polyposis entered a prospective study on the effect of functional endoscopic sinus surgery (FES). Nasal stenosis associated with massive nasal polyposis was the most frequent problem found in 61% of the patients. The rest had long-lasting symptoms of chronic sinusitis. Duration of symptoms averaged 9.3 years. Most frequent symptoms preoperatively were: nasal stenosis, chronic secretion, anosmia, frontal pain, headache and maxillary pain. All patients had the operation performed under general anaesthesia. 86% of the patients have been operated bilaterally. In 72% the posterior ethmoid was opened, and in 54% the sphenoid was opened. The maxillary ostium has been enlarged in 82% of the patients and the frontal recess opened in 51% of the cases. No serious complications were registered. Annoying bleeding was experienced in 21%, hampering the intended procedure. In three patients rhinoliquore was observed. One case was treated during the procedure; the last two patients were in no need of surgical treatment. At the 1-year follow-up study, 45% of the patients were totally satisfied with the results and without symptoms, and 44% were definitely feeling better.
1989年至1999年，237例连续性慢性鼻窦炎和/或鼻息肉患者纳入一项关于功能性鼻内镜鼻窦手术（FES）疗效的前瞻性研究。与巨大鼻息肉相关的鼻狭窄是在61%的患者中发现的最常见问题。其余患者有慢性鼻窦炎的长期症状。症状持续时间平均为9.3年。术前最常见的症状为：鼻狭窄、慢性分泌物、嗅觉减退、额部疼痛、头痛和上颌部疼痛。所有患者均在全身麻醉下进行手术。86%的患者接受了双侧手术。72%的患者开放了后筛窦，54%的患者开放了蝶窦。82%的患者扩大了上颌窦口，51%的病例开放了额隐窝。未记录到严重并发症。21%的患者出现烦人的出血，妨碍了预期手术。3例患者观察到鼻泪管问题。1例在手术过程中进行了治疗；最后2例患者无需手术治疗。在1年的随访研究中，45%的患者对结果完全满意且无症状，44%的患者明显感觉好转。
