长期鼻炎在大前进的骨头外科手术后
Nour Ibrahim1, Peter H Hwang2, Kawinyarat Jitaroon3
1Department of Otolaryngology-Head and Neck Surgery, Galilee Medical Center, Bar Ilan University, Ramat Gan, Tel Aviv, Israel.
The Annals of otology, rhinology, and laryngology
|October 6, 2023
概括
对于睡眠呼吸暂停而进行的上 (MMA) 手术可能导致慢性鼻炎 (CRS). 透镜鼻手术 (ESS) 可以显著改善MMA后CRS患者的症状.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形手术 整形手术 整形手术
- 睡眠医学 睡眠医学
背景情况:
- 上下 (MMA) 有效地管理阻塞性睡眠呼吸暂停 (OSA).
- 在MMA中部的进步可以改变鼻解剖学,可能会损害排水,并导致慢性鼻炎 (CRS).
研究的目的:
- 描述MMA后发展CRS的患者的临床特征和结果.
- 在这个患者群体中,评估内镜鼻手术 (ESS) 对CRS的有效性.
主要方法:
- 追溯57名被诊断患有MMA后CRS的患者 (1992-2018) 的病例系列.
- 收集的数据包括人口统计,并发症,手术史,体检,CT发现和SNOT-22生活质量得分.
- 在MMA后接受ESS治疗CRS的患者的分析.
主要成果:
- 7.8%的MMA患者发生了CRS.
- 常见的症状包括面部疼痛,鼻水排水和阻塞.
- 在手术后12个月,ESS显著改善了SNOT-22得分 (P=.018).
结论:
- 接受MMA治疗的患者有患术后CRS的风险.
- 告知患者这种风险至关重要.
- 手术干预,如ESS,为MMA后的医疗耐药CRS提供了可行的治疗选择.
更多相关视频
相关概念视频
Chronic Pharyngitis
2.5K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.5K
Epistaxis
175
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
175
Suctioning the Nasopharyngeal Airway
476
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
476
Tonsillitis II: Management
122
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
122
Anatomy of Respiratory System I: Upper Respiratory Tract
1.7K
The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
1.7K
Nose and Nasal Cavity
2.7K
The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
2.7K


