Aydin Erdinç, Erkan A Nabi, Akdoğan M Volkan, Ozgirgin O Nuri, Budakoğlu I Irem
Department of Otolaryngology, Medicine Faculty of Başkent University, Ankara, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(5):253-9.
We compared patients who underwent functional endoscopic sinus surgery combined with septoplasty or septorhinoplasty and evaluated the concurrent applicability of septorhinoplasty and endoscopic sinus surgery.
We retrospectively analyzed 145 patients (96 males, 49 females; age range 16 to 78 years) who underwent endoscopic sinus surgery in conjunction with septoplasty or septorhinoplasty. The two patient groups were compared with respect to demographic characteristics, systemic diseases, allergy histories, the presence of nasal polyposis, preoperative paranasal sinus tomographies, Lund-Mackay scores, surgical procedures, operation times, and complication rates.
Patients who underwent septorhinoplasty were younger than those undergoing septoplasty. There were no significant differences between the two groups in terms of paranasal sinus tomography scores, allergy histories, systemic diseases, and complication rates (p>0.05). The number of patients with nasal polyposis was significantly greater in the septoplasty group (p<0.05). Septorhinoplasty in conjunction with endoscopic sinus surgery required a significantly longer operation time (p<0.05).
Complications and the severity of sinus pathologies were similar in the two groups. Concurrent applications of septorhinoplasty and endoscopic sinus surgery significantly increase operation time.
我们比较了接受功能性鼻内镜鼻窦手术联合鼻中隔成形术或鼻 septorhinoplasty 的患者，并评估了鼻 septorhinoplasty 和鼻内镜鼻窦手术的同时适用性。
我们回顾性分析了 145 例接受鼻内镜鼻窦手术联合鼻中隔成形术或鼻 septorhinoplasty 的患者（96 例男性，49 例女性；年龄范围 16 至 78 岁）。比较了两组患者的人口统计学特征、全身性疾病、过敏史、鼻息肉的存在情况、术前鼻窦断层扫描、Lund-Mackay 评分、手术程序、手术时间和并发症发生率。
接受鼻 septorhinoplasty 的患者比接受鼻中隔成形术的患者年轻。两组在鼻窦断层扫描评分、过敏史、全身性疾病和并发症发生率方面无显著差异（p>0.05）。鼻中隔成形术组鼻息肉患者数量显著更多（p<0.05）。鼻 septorhinoplasty 联合鼻内镜鼻窦手术所需手术时间显著更长（p<0.05）。
两组并发症及鼻窦病变严重程度相似。鼻 septorhinoplasty 和鼻内镜鼻窦手术同时应用显著增加手术时间。
