Efficacy of the Modified Endoscopic Frontal Sinus Surgery for Recurrent Chronic Frontal Sinusitis

被引：3

作者：

Ma Y. ^{[1
]}

Wang T. ^{[1
]}

Zhang X. ^{[1
]}

Yu C. ^{[1
]}

Li H. ^{[1
]}

He G. ^{[1
]}

Tan G. ^{[1
]}

机构：

[1] Department of Otolaryngology-Head Neck Surgery, Third Xiangya Hospital, Central South University, Changsha

来源：

Indian Journal of Otolaryngology and Head & Neck Surgery | 2014年 / 66卷 / 3期

关键词：

Endoscopy; Frontal sinusitis; Sinus surgery;

D O I：

10.1007/s12070-013-0658-2

中图分类号：

学科分类号：

摘要：

To modify the endoscopic frontal sinus surgery and improve the therapeutic effect of recurrent chronic frontal sinusitis (RCFS). Eighty-five patients with RCFS were divided into two groups. Endoscopic frontal sinus surgery through an approach of Frontomaxillary Process-Agger Nasi, a modified Draf IIb procedure, was carried out in 51 patients (Group A), and conservative medication was applied in 34 patients as control (Group B). The therapeutic effect was prospectively evaluated with statistically validated measures of sinusitis-specific quality of life, sino-nasal outcome test-20 questionnaire (SNOT-20). Compared with pre-treatment, the average total score of SNOT-20 in RCFS patients was significantly decreased at the time of 6, 12 months after modified endoscopic frontal sinus surgery and medical treatments (p < 0.05). However, the total score of SNOT20 was significantly lower in group A than group B at the same period of the follow-up after treatments (p < 0.05). The overall efficacy evaluated by patients’ self showed that the rate of “much improved” and “improved” was respectively 68.6 and 17.6 % in group A, and significantly better than group B (p < 0.001). Furthermore, the frontal sinus patency rate in group A was 85 %, and significantly higher than group B (p < 0.001). Endoscopic frontal sinus surgery through an approach of Frontomaxillary Process-Agger Nasi, a modified Draf IIb procedure, is an effective procedure to treat the RCFS. © 2013, Association of Otolaryngologists of India.

引用

页码：248 / 253

页数：5

共 18 条

[1]

Kennedy D.W., Zinreich S.J., Rosenbaum A.E., Et al., Functional endoscopic sinus surgery. Theory and diagnostic evaluation, Arch Otolaryngol, 111, pp. 576-582, (1985)

[2]

Ramadan H., History of frontal sinus surgery, Arch Otolaryngol Head Neck Surg, 126, pp. 98-99, (2000)

[3]

Farhat F.T., Figueroa R.E., Kountakis S.E., Anatomic measurements for the endoscopic modified Lothrop procedure, Am J Rhinol, 19, pp. 293-296, (2005)

[4]

Zhou B., Han D., Liu H., Et al., Endoscopic anatomic characterization of the frontal recess and its implications in frontal sinus surgery, ORL, 70, pp. 84-90, (2008)

[5]

Draf W., Endonasal micro-endoscopic frontal sinus surgery, the Fluda concept, Oper Tech Otolaryngol Head Neck Surg, 2, pp. 234-240, (1991)

[6]

Close L.G., Lee N.K., Leach J.L., Et al., Endoscopic resection of the intranasal frontal sinus floor, Ann Otol Rhinol Laryngol, 103, pp. 952-958, (1994)

[7]

Gross W.E., Gross C.W., Becker D., Et al., Modified transnasal endoscopic Lothrop procedure as an alternative to frontal sinus obliteration, Otolaryngol Head Neck Surg, 113, pp. 427-434, (1995)

[8]

Piccirillo J.F., Merritt M.G., Richards M.L., Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test (SNOT-20), Otolaryngol Head Neck Surg, 126, pp. 41-47, (2002)

[9]

Samaha M., Cosenza M.J., Metson R., Endoscopic frontal sinus drillout in 100 patients, Arch Otolaryngol Head Neck Surg, 129, pp. 854-858, (2003)

[10]

Jacobs J.B., Lebowitz R.A., Sorin A., Et al., Preoperative sagittal CT evaluation of the frontal recess, Am J Rhinol, 14, pp. 33-37, (2000)

← 1 2 →