Sphenoidotomy kinetics in patients with chronic rhinosinusitis without nasal polyps.

Panagiotis D Pyriochos, Konstantinos Markou, Jannis Constantinidis, Iordanis Konstantinidis
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引用次数: 1

Abstract

Objective: Stenosed sphenoid sinus ostia are among the most common findings in revision endoscopic sinus surgery. This study sought to identify the optimal intraoperative sphenoidotomy size for prevention of postoperative stenosis.

Methods: 32 patients affected by chronic rhinosinusitis not associated with nasal polyps (CRSsNP) underwent 52 sphenoidotomies. Sphenoidotomy size was assessed using a ruler intraoperatively and at the first, third and sixth months postoperatively. Ostia sizes, SNOT-22 questionnaire findings, episodes of recurrent sinusitis and need for revision surgery were recorded.

Results: All sphenoidotomies exhibited a significant size reduction (mean 43.4 ± 6.8%) at the first month postoperatively, with a tendency to enlarge at 3 months and stabilise at 6 months. Ostia larger than 61.3 mm2 did not exhibit stenoses postoperatively. Stenosis was observed in 11 sphenoidotomies (21.2%); however, only five presented with recurrent symptoms (9.6%), while three required revision sphenoid surgery (5.8%).

Conclusions: Sphenoidotomy size significantly reduced during the first postoperative month and then stabilised. A baseline sphenoidotomy size of 61.3 mm2 at the time of the operation seemed sufficient to prevent ostium stenosis. Half of stenosed ostia presented with recurrent symptoms.

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无鼻息肉的慢性鼻窦炎患者的蝶窦切开术动力学。
目的:蝶窦狭窄是鼻内镜翻修手术中最常见的症状之一。本研究旨在确定术中蝶窦切开术的最佳尺寸,以预防术后狭窄。方法:32例非合并鼻息肉的慢性鼻窦炎(CRSsNP)患者行52例蝶窦切除术。术中及术后第1、3、6个月用尺子评估蝶窦切开术的大小。记录患者的鼻窦大小、SNOT-22问卷调查结果、复发性鼻窦炎发作和翻修手术的需要。结果:所有蝶窦切开术术后第一个月体积明显减小(平均43.4±6.8%),术后3个月增大,6个月稳定。大于61.3 mm2的口术后未出现狭窄。蝶窦切除术狭窄11例(21.2%);然而,只有5例出现复发症状(9.6%),而3例需要翻修蝶骨手术(5.8%)。结论:蝶窦切开面积在术后1个月内明显减小,随后稳定下来。手术时基线蝶窦切开面积为61.3 mm2似乎足以防止口狭窄。一半的狭窄口有复发症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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