Otorhinolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Otorhinolaryngology, Faculty of medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.
Clin Otolaryngol. 2021 Sep;46(5):954-960. doi: 10.1111/coa.13758. Epub 2021 Mar 29.
This study aimed to compare the effects of middle turbinate resection vs bolgerization on the incidence of middle meatus synechia and their prognostic value on the patency outcomes after frontal sinusotomy.
A randomised controlled study.
Tertiary centre hospital.
Thirty-eight patients undergoing bilateral frontal sinusotomy for chronic frontal sinusitis were included. Partial middle turbinate resection was alternated with bolgerization in both nasal cavities of every patient. The Lund-Kennedy endoscopic scores (LKESs) for both sides were compared at the first, third and sixth months postoperatively. Middle meatus synechia was assessed using the visual analogue score (VAS). Sinus patency was assessed at the end of the sixth month using a 70° nasal endoscope.
The sinus patency outcome was significantly higher in the resected group (34\38) than the bolgerized group (26\38), (P = .047*). The VAS scores suggested that the middle turbinate bolgerization group showed a significantly higher incidence of middle meatal synechia than the partial middle turbinate resection group (4.47 ± 2.617 vs 3.29 ± 2.301; P = .040*).
Middle turbinate resection showed more favourable results than bolgerization concerning the sinus patency outcome after frontal sinusotomy. It also showed a lower incidence of middle meatus synechia postoperatively.
本研究旨在比较中鼻甲切除术与 Bolger 化术对中鼻道黏连发生率的影响及其对额窦切开术后窦口通畅结局的预测价值。
随机对照研究。
三级中心医院。
纳入 38 例因慢性额窦炎而行双侧额窦切开术的患者。每位患者的双侧鼻腔均交替行部分中鼻甲切除术和 Bolger 化术。术后第 1、3 和 6 个月比较双侧的 Lund-Kennedy 内镜评分（LKES）。使用视觉模拟评分（VAS）评估中鼻道黏连。术后第 6 个月使用 70°鼻内镜评估窦口通畅情况。
切除组（34/38）的窦口通畅结局明显高于 Bolger 化组（26/38）（P=0.047*）。VAS 评分表明，中鼻甲 Bolger 化组的中鼻道黏连发生率明显高于部分中鼻甲切除术组（4.47±2.617 比 3.29±2.301；P=0.040*）。
与 Bolger 化术相比，中鼻甲切除术在额窦切开术后的窦口通畅结局方面表现出更有利的结果。它还显示术后中鼻道黏连的发生率较低。
