Royal National Throat, Nose and Ear Hospital, London, UK.
Rhinology. 2013 Sep;51(3):231-5. doi: 10.4193/Rhino12.087.
Many patients attribute their symptoms of facial pain or headache to sinus problems. Facial pain is one of the symptoms of rhinosinusitis according to European and American consensus documents. This symptom, however, has been insufficiently studied in the group of patients with chronic rhinosinusitis with nasal polyps (CRSwNP). The aim of this work is to study the symptom of facial pain in patients with CRSwNP.
Patients with CRSwNP were prospectively asked to score their facial pain according to the scoring system used in the Sino Nasal Outcome Test 22 (SNOT 22).
Fifty patients fulfilled the inclusion criteria. Thirty-one patients had grade II polyps and 19 patients had grade III polyps. Of these patients, 76% had absent or very mild facial pain. Only 16% of patients had moderate or severe facial pain. All patients with severe facial pain had viscid secretions within their sinuses.
Significant facial pain is uncommon in patients with CRSwNP. It is important to consider this when counselling patients before surgery.
许多患者将面部疼痛或头痛的症状归因于鼻窦问题。根据欧美共识文件，面部疼痛是鼻-鼻窦炎的症状之一。然而，在慢性鼻-鼻窦炎伴鼻息肉（CRSwNP）患者群体中，这一症状研究尚不充分。本研究旨在研究 CRSwNP 患者的面部疼痛症状。
前瞻性地要求 CRSwNP 患者根据 Sino Nasal Outcome Test 22（SNOT 22）评分系统对其面部疼痛进行评分。
50 名患者符合纳入标准。31 名患者为 II 级息肉，19 名患者为 III 级息肉。这些患者中，76%的患者面部疼痛程度为无或轻度。仅有 16%的患者存在中度或重度面部疼痛。所有面部疼痛严重的患者鼻窦内均有粘稠分泌物。
CRSwNP 患者的显著面部疼痛并不常见。在手术前为患者提供咨询时，这一点很重要。
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