内窥镜鼻中隔成形术的实践和原则:教训、错误和未来

IF 0.1 Q4 OTORHINOLARYNGOLOGY
A. Haq, C. Bansal, A. Pandey, A. Varma, Sonal Kala
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引用次数: 1

摘要

背景:传统的鼻中隔手术可以改善鼻气道,但最近关于鼻中隔成形术的知识的发展和进步显著改变了治疗方式,并使人们关注可能的优势的几个方面。本研究旨在了解内镜下鼻中隔成形术的优点、并发症和局限性。方法:对90例症状性鼻中隔偏曲患者进行前瞻性观察研究。它评估了症状、前鼻镜和鼻内镜检查结果、使用鼻阻塞症状评估(NOSE)评分的症状的客观和主观改善、使用视觉模拟量表(VAS)的术后疼痛以及术后并发症。结果:左侧或右侧鼻中隔偏斜(DNS)是最常见的检查结果,占97.78%。术后症状缓解良好,NOSE评分主观改善显著,平均下降96.26%。所有患者的客观评估显示气道改善。结论:鼻内镜下鼻中隔成形术(ES)具有明显的优点,主观和客观症状改善良好,并发症发生率较低。它应该是提供给所有需要进行鼻中隔成形术的患者的一种选择。我们还发现,它有助于提高学员的学习曲线和手术技能。孟加拉国耳鼻喉科杂志2021;27(2):170-176
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Key Considerations in Practices and Principles of Endoscopic Septoplasty: Lessons, Mistakes and Future
Background: Conventional surgeries of the nasal septum improve the nasal airway but recent development and advancement of the knowledge about the endoscopic septoplasty has significantly changed the treatment modality and had brought focus over several aspects of possible advantages. This study aims to see the advantages, complications and limitations of endoscopic septoplasty. Methods: It was an observational prospective study conducted over 90 patients of symptomatic deviated nasal septum. It evaluated symptoms, anterior rhinoscopy and nasal endoscopy findings, objective and subjective improvement of symptoms using the nasal obstruction symptom evaluaiton (NOSE) score, post-operative pain using the visual analogue scale (VAS) and complication following the surgery. Results: Deviated nasal septum (DNS) either left or right side was the most common examination finding 97.78%. Post-operatively there was a good symptom relief and significant subjective improvement in NOSE scores with average decline in the score by 96.26%. Objective assessment of all patients showed improved airway. The complication rate was minimum 7.78%. Conclusion: Endoscopic septoplasty (ES) was found to have distinct advantages with good subjective and objective improvement of symptoms and lesser rate of complications. It should be an option offered to all patients requiring septoplasty. We also found that it helps in improving the learning curve and surgical skill of the trainees. Bangladesh J Otorhinolaryngol 2021; 27(2): 170-176
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