Partial Resection versus Preservation of Middle Turbinate in Surgery for Chronic Rhinosinusitis With - Without Nasal Polyposis

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2022-01-01 DOI:10.21608/ejentas.2021.89110.1406

Adel El-Antably, U. Mohamed, Mahmoud Abbas, A. Megahed

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Abstract

Background: The decision between the partial resection and preservation of the middle turbinate has raised considerable debate. Patients and Methods: This prospective study included thirty randomly selected patients with chronic rhinosiusitis with polyps who underwent surgery. A total 60 sides of nasal cavity were divided into two groups with 30 sides each. Group I comprised 30 sides underwent FESS with partial middle turbinate resection and group II comprised the opposite 30 sides underwent FESS without MTR and each patient acts as his own control. Both groups were compared objectively and subjectively postoperatively at the 1 st , 3 rd and 6 th month postoperatively. Results : The results showed endoscopic grade 0 mucosa was found more in group I (100%; n = 30) than group II (73.3% n = 22) and the recurrence of nasal polyps was 0.00% (n = 0) in group I compared to recurrence 26.6% (n = 8) in group II. Nasal obstruction was grade 0 in 100% (n =30) sides of group I and grade 0 in 73.3% (n = 22) sides of groupII. Hyposmia improved to normal in group I in 100% n=30 compared to hyposmia in 26.66% n=8 in group II. The 30 (100%) resected sides of group I showed central middle turbinate stump not obscuring frontal recess area with 100% patency of frontal sinus ostia compared to 5 cases 16.7% in group II showing frontal sinus ostium closure . Maxillary sinus antrostomy patency was found patent in 100.00% (n = 30) sides and in group II it was 73.33% (n = 22).

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慢性鼻窦炎伴-不伴鼻息肉病的手术中部分切除与保留中鼻甲

背景:中鼻甲部分切除和保留之间的决定引起了相当大的争论。患者和方法:这项前瞻性研究包括30例随机选择的慢性鼻窦炎伴息肉患者，他们接受了手术治疗。将60侧鼻腔分为两组，每组30侧。第一组30侧行FESS手术并切除部分中鼻甲，第二组30侧行FESS手术但不切除中鼻甲，每个患者作为自己的对照。两组分别于术后1、3、6个月进行客观和主观比较。结果:内镜下0级黏膜组较多(100%;鼻息肉复发率为0.00% (n = 0)，复发率为26.6% (n = 8)。I组100% (n =30)侧鼻塞为0级，pii组73.3% (n = 22)侧鼻塞为0级。对照组缺氧率为26.66% (n=8)，对照组为100% (n=30)。I组30例(100%)切除侧显示中央中鼻甲残端未遮挡额隐窝区，额窦口100%通畅，而II组5例(16.7%)显示额窦口关闭。上颌窦窦口通畅率为100.00% (n = 30)侧，ⅱ组为73.33% (n = 22)侧。

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来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.