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泡状鼻甲在慢性鼻-鼻窦炎中的作用。

Role of Concha Bullosa in Chronic Rhinosinusitis.

作者信息

Tiwari Rashi, Goyal Rashmi

机构信息

Agra, India.

Jaipur, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Mar;71(1):128-131. doi: 10.1007/s12070-018-1497-y. Epub 2018 Sep 24.

Abstract

UNLABELLED

Concha bullosa is one of the most common anatomical variant found in the patients of chronic rhinosinusitis. To study the role of concha bullosa in patients of chronic rhinosinusitis a prospective cross sectional study was done comprising of 60 patients who were having symptoms of sinusitis for more than 12 weeks. These were evaluated with the help of nasal endoscope and CT scan. DNS and concha bullosa are the most common anatomical variant seen in the patients of chronic rhinosinusitis with percentage being 88.3% and 76.6% respectively. Patients with deviated nasal septum and large concha bullosa (bulbous and extensive) were associated with higher incidence of ostiomeatal complex obstruction. There seems a strong relationship between unilateral concha bullosa and contralateral deviated nasal septum in development of chronic rhinosinusitis. (1) To find out the percentage and role of concha bullosa in patients of chronic rhinosinusitis. (2) To screen the patients of chronic rhinosinusitis for concha bullosa. (3) To do the nasal endoscopy and CT scan of the screened patients.

STUDY DESIGN

cross sectional study.

SAMPLE SIZE

INCLUSION CRITERIA

all patients of chronic rhinosinusitis.

EXCLUSION CRITERIA

patients with previous sinus surgeries, malignancy and acute cases of chronic rhinosinusitis.

摘要

未标注

泡状鼻甲是慢性鼻窦炎患者中最常见的解剖变异之一。为研究泡状鼻甲在慢性鼻窦炎患者中的作用,开展了一项前瞻性横断面研究,纳入60例有超过12周鼻窦炎症状的患者。借助鼻内镜和CT扫描对这些患者进行评估。鼻中隔偏曲(DNS)和泡状鼻甲是慢性鼻窦炎患者中最常见的解剖变异,分别占88.3%和76.6%。鼻中隔偏曲和大泡状鼻甲(球茎状和广泛型)患者的窦口鼻道复合体阻塞发生率更高。在慢性鼻窦炎的发生中,单侧泡状鼻甲与对侧鼻中隔偏曲之间似乎存在密切关系。(1)确定泡状鼻甲在慢性鼻窦炎患者中的比例及作用。(2)筛查慢性鼻窦炎患者是否存在泡状鼻甲。(3)对筛查出的患者进行鼻内镜检查和CT扫描。

研究设计

横断面研究。

样本量

60例。

纳入标准

所有慢性鼻窦炎患者。

排除标准

既往有鼻窦手术史、恶性肿瘤及慢性鼻窦炎急性发作的患者。

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