功能性鼻腔外科手术后的结果在患有与没有药用鼻炎的患者中.
Anthony P Di Ponio1, Mohammad-Nadim Samad1, Richard Pellizzari2
1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.
The Laryngoscope
|October 10, 2024
概括
鼻腔阻塞手术有效地改善了患有药用鼻炎 (RM) 和没有鼻炎的患者的症状. 大多数RM患者在手术后成功地停止局部鼻腔除凝剂的使用,保持长期缓解.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 外科手术的结果
背景情况:
- 局部鼻腔脱凝剂 (TNDs) 缓解鼻腔阻塞,但可能导致药用鼻炎 (RM),其特征是反弹.
- 目前的RM管理主要涉及TND停止,通常是用鼻腔内皮质类固醇.
研究的目的:
- 为了比较RM和没有RM的患者手术后的鼻阻塞结果.
- 评估RM患者鼻腔阻塞手术的疗效.
主要方法:
- 针对接受双侧下轮缩减 (ITR) 的成年患者进行了回顾性病例对照研究,包括其他鼻腔手术或没有其他鼻腔手术.
- RM定义为每天TND使用≥4周.
- 分析了鼻腔阻塞症状评估 (NOSE) 评分和TND停止率.
主要成果:
- 无论是RM组还是非RM组,都显示了术后NOSE得分的显著降低 (p < 0.0001).
- 在RM和非RM组之间没有观察到NOSE得分减少的显著差异 (p = 0.2438).
- 86.1%的RM患者在手术后保持了长期的TND停止.
结论:
- 鼻腔阻塞手术为RM和没有RM的患者提供了可比的长期症状缓解.
- 手术是RM患者的有效选择,促进TND停止和持续改善.
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