完整的头与跨头:哪一种方法对额头鼻更好?
Jaskaran Singh1, Bhanu Bhardwaj1, Dhanwant Aulakh2
1Sri Guru Ram Das University of Health Sciences, 27-C, Sant Avenue, The Mall, Amritsar, Punjab 143001 India.
概括
在内镜前鼻外科手术中,跨关节和完整的突技术都有效地改善了症状. 然而,完整的布拉技术显示较少的并发症,比如中间轮的横向化,而不是跨轴的方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内镜鼻手术 内镜鼻手术
- 额头鼻腔解剖学 额头鼻腔解剖学
背景情况:
- 额头鼻对内镜外科手术方法提出了独特的解剖学挑战.
- 额头鼻的手术管理仍在争论中,跨关和完整的布拉技术是常见的内镜方法.
- 横轴技术提供了直接访问,而完整的布拉技术需要角度内镜,与他们相对有效性的持续争议.
研究的目的:
- 为了比较透过骨与完整的骨手术的疗效和并发症率,用于内镜前鼻腔手术.
- 根据内镜评分和患者报告的症状改善来评估手术结果.
主要方法:
- 一项随机前性研究,涉及40名患有额头鼻炎的患者.
- 患者被分为两组:A组 (横技术) 和B组 (完整的布拉技术).
- 评估的结果包括手术时间,术后内镜隆德-肯尼迪分数,SNOT-22分数和12周随访后的并发症率.
主要成果:
- 这两种技术都显著改善了术后的Lund-Kennedy和SNOT-22分数.
- 完整的布拉技术 (B组) 显示了较短的平均外科手术时间 (15.9分钟) 与横轴手术技术 (A组,21.1分钟) 相比.
- 跨关技术显示出更高的并发症率,特别是中间轮侧面化 (8/20) 和鼻粘合 (7/20),与完整的突技术相比 (分别是1/19和1/20).
结论:
- 这两种内镜技术都非常有效地改善了前腔鼻炎的术后内镜发现和症状评分.
- 完整的布拉技术与特定的术后并发症的发病率较低,例如中间轮侧面化,与横技术相比.
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