Lund V J, Scadding G K
Rhinology Research Clinic, Institute of Laryngology and Otology, London.
J Laryngol Otol. 1994 Sep;108(9):749-53. doi: 10.1017/s0022215100128014.
Whilst clinical success of endoscopic surgery for chronic rhinosinusitis has necessarily depended primarily upon subjective evaluation, a range of objective techniques are now available which may facilitate our interpretation of results. A group of 200 patients underwent assessment of symptoms by sequential visual analogue scoring, olfaction by qualitative and quantitative testing, nasal airflow by forced inspiratory peak flow, anterior rhinomanometry, nasomucociliary function by ciliary beat frequency and nasal topography by acoustic rhinometry performed pre- and post-operatively. Significant improvement was demonstrated in all symptoms examined, olfactory tests and ciliary beat frequency whilst acoustic rhinometry provided an attempt to quantify the surgical cavities. These results offer an interesting perspective on the pathology of rhinosinusitis and the rationale for surgery within the ostiomeatal complex.
虽然慢性鼻窦炎内镜手术的临床成功主要依赖于主观评估，但现在已有一系列客观技术，这可能有助于我们对结果的解读。一组200例患者在手术前后接受了序贯视觉模拟评分评估症状、定性和定量测试评估嗅觉、用力吸气峰值流量评估鼻气流、前鼻测压法评估鼻气流、通过纤毛摆动频率评估鼻黏膜纤毛功能以及通过声反射鼻测量法评估鼻腔形态。所有检查的症状、嗅觉测试和纤毛摆动频率均显示出显著改善，而声反射鼻测量法试图对手术腔进行量化。这些结果为鼻窦炎的病理学以及窦口鼻道复合体手术的理论依据提供了一个有趣的视角。
