Olszewski Jurek, Miłoński Jarosław
Klinika Otolaryngologii i Onkologii Laryngologicznej II Katedry Otolaryngologii UM w Łodzi.
Otolaryngol Pol. 2008;62(4):400-2. doi: 10.1016/S0030-6657(08)70279-8.
This work aimed at the analysis of results of the treatment of nasal and paranasal sinus polyps by the endoscopic method.
The tests were conducted on 142 patients, including 75 women and 67 men at the age of 17-68, who underwent the endoscopic surgical treatment due to nasal polyps and paranasal sinus polyps between 2006-2007. In all the patients we conducted functional surgical procedures of the nose and paranasal sinuses by the endoscopic method. In the post-operative treatment we applied the nasal steroid therapy and guided antibiotic therapy. The efficiency of the treatment was assessed 6 months after the procedure.
All in all, we conducted 278 polipectomies (163 repolipectomies) of the nose, 278 ethmoidectomies (56 reethmoidectomies), 188 ostium-ductal complex operations, 43 maxillary sinus operations, 21 sphenoid sinus operations and 64 surgical dilatations of the sphenoid sinus ostinum, 49 surgical dilations of the frontal sinuses. In 7 cases the nasal septum operation was conducted simultaneously. Six months following the operation, the endoscopic test showed a correct patency in the ostinum of the paranasal sinuses, sphenoid and frontal sinuses, and no inflammatory traits like reddening, swelling of the nasal mucosa or any pathological secretion. Four times we noticed reddening and swelling of the nasal mucosa, and the mucopurpulent secretion accompanying correct patency of the ostinum in the paranasal sinuses. The control examination carried out 6 months after the surgical treatment showed, according to the patients, the appropriate nasal patency in 93.7%, sensation of the blood flowing down the throat in 20.4%, mucorrhoea in 2.8%, smell impairment in 17.6% and headache in 2.8%.
In the majority of the cases we conducted nasal and paranasal sinus re-operations after the prior traditional procedures, which are still used in many institutions not equipped with endoscopic surgery appliances.
本研究旨在分析内镜治疗鼻及鼻窦息肉的结果。
对142例患者进行了测试，其中包括75名女性和67名男性，年龄在17至68岁之间，他们在2006年至2007年间因鼻息肉和鼻窦息肉接受了内镜手术治疗。所有患者均采用内镜方法进行鼻及鼻窦的功能性手术。术后治疗采用鼻用类固醇疗法和指导性抗生素治疗。术后6个月评估治疗效果。
总共进行了278次鼻息肉切除术（163次再次鼻息肉切除术）、278次筛窦切除术（56次再次筛窦切除术）、188次窦口鼻道复合体手术、43次上颌窦手术、21次蝶窦手术以及64次蝶窦开口手术扩张、49次额窦手术扩张。7例患者同时进行了鼻中隔手术。术后6个月，内镜检查显示鼻窦、蝶窦和额窦开口通畅，鼻黏膜无发红、肿胀等炎症表现，也无任何病理性分泌物。有4次发现鼻黏膜发红、肿胀，同时鼻窦开口通畅伴有黏液脓性分泌物。手术治疗后进行的6个月对照检查显示，据患者反映，鼻通气正常的占93.7%，有咽喉部血液下流感觉的占20.4%，有鼻漏的占2.8%，嗅觉减退的占17.6%，头痛的占2.8%。
在大多数病例中，我们是在先前传统手术之后进行鼻及鼻窦再次手术的，而许多未配备内镜手术设备的机构仍在使用传统手术。
