1. Rhinology and Skull Base Research Group, St Vincents Centre for Applied Medical Research, University of New South Wales, Sydney, Australia 2. St Vincents Clinical School, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Rhinology and Skull Base Research Group, St Vincents Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.
Rhinology. 2017 Dec 1;55(4):332-338. doi: 10.4193/Rhin16.210.
Inferior turbinate procedures are applied to relieve medically refractory nasal obstruction. However, the nature of congestion differs between allergic(AR) and non-allergic rhinitis(NAR). This study compares surgical outcomes between AR and NAR patients.
A case-control study of patients undergoing turbinate with or without septoplasty surgery for nasal obstruction was performed. Patient reported outcomes were: nasal obstruction, global nasal function(GNF), and sino-nasal outcome test(SNOT-22) with rhinitis, facial symptom, sleep and psychological sub-scores. Nasal peak inspiratory flow(NPIF) assessed nasal airflow. Measurements were obtained preoperatively and 3 months postoperatively.
190 patients were assessed. AR had worse obstruction and worse GNF. All outcomes improved post-surgery; nasal obstruction, GNF, SNOT-22, rhinitis-symptoms, facial-symptoms, sleep-function, psychological-function and NPIF. GNF improvement was greater in AR. NPIF improvement was similar between groups.
Both AR and NAR patients gained benefit from surgery to relieve nasal obstruction. AR patients demonstrate greater improvement in GNF score but allergy management may contribute to this.
下鼻甲手术用于缓解医学上无法治疗的鼻腔阻塞。然而，变应性（AR）和非变应性鼻炎（NAR）的充血性质不同。本研究比较了 AR 和 NAR 患者的手术结果。
对因鼻腔阻塞而行鼻甲切除术或鼻中隔成形术的患者进行病例对照研究。患者报告的结果包括：鼻腔阻塞、整体鼻腔功能（GNF）和鼻炎、面部症状、睡眠和心理子评分的鼻后滴注评分（SNOT-22）。鼻峰吸气流量（NPIF）评估鼻气流。术前和术后 3 个月进行测量。
共评估了 190 例患者。AR 患者的阻塞程度更严重，GNF 更差。所有结果在手术后均得到改善；鼻腔阻塞、GNF、SNOT-22、鼻炎症状、面部症状、睡眠功能、心理功能和 NPIF。AR 患者的 GNF 改善更明显。两组 NPIF 改善相似。
AR 和 NAR 患者均从缓解鼻腔阻塞的手术中获益。AR 患者的 GNF 评分改善更明显，但过敏管理可能对此有贡献。
