评估使用超声骨钻进行内镜鼻窦修正手术的可行性和安全性。
Assessing Feasibility and Safety of Using Ultrasonic Bone Aspirator for Revision Endoscopic Sinus Surgery.
作者信息
Kim Joo Yeon, Oh Jung Ho, Kim Seo Bin, Kwon Jae Hwan
机构信息
Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Republic of Korea.
出版信息
J Rhinol. 2022 Nov;29(3):141-147. doi: 10.18787/jr.2022.00411. Epub 2022 Nov 15.
BACKGROUND AND OBJECTIVES
This study introduced and evaluated the efficacy of an ultrasonic bony aspirator (UBA) in revision endoscopic sinus surgery and compared the outcomes to those of the traditional cold instrument approach.
METHODS
This retrospective study enrolled 57 patients who underwent revision endoscopic sinus surgery between June 2010 and December 2017, 17 patients with a UBA approach and 40 patients with traditional instruments.
RESULTS
Median Lund-Kennedy scores showed a statistically significant difference between the two groups at 3 months (p=0.004). Synechiae occurred in 17.6% and 35% of cases in the UBA and traditional groups, respectively. The mean operative time was significantly shorter in the traditional group (p=0.001).
CONCLUSION
The use of a UBA in revision endoscopic sinus surgery was safe and effective.
背景与目的
本研究介绍并评估了超声骨质吸引器（UBA）在翻修性鼻内镜鼻窦手术中的疗效，并将结果与传统冷器械手术方式进行比较。
方法
这项回顾性研究纳入了2010年6月至2017年12月期间接受翻修性鼻内镜鼻窦手术的57例患者，其中17例采用UBA手术方式，40例采用传统器械手术。
结果
两组患者术后3个月的Lund-Kennedy评分中位数存在统计学显著差异（p = 0.004）。UBA组和传统组粘连发生率分别为17.6%和35%。传统组的平均手术时间明显更短（p = 0.001）。
结论
在翻修性鼻内镜鼻窦手术中使用UBA是安全有效的。
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