Observation of the Curative Effect of Enlarged and Opened Middle Turbinate Combined with Nerve Branch Block in Patients with Refractory Sinusitis

Linling ZHU; Chenggang WANG; Hongliang YANG; Xiangling WEN

doi:10.12259/j.issn.2095-610X.S20220919

Volume 43 Issue 9

Sep. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(9): 96-100

Linling ZHU, Chenggang WANG, Hongliang YANG, Xiangling WEN. Observation of the Curative Effect of Enlarged and Opened Middle Turbinate Combined with Nerve Branch Block in Patients with Refractory Sinusitis[J]. Journal of Kunming Medical University, 2022, 43(9): 96-100. doi: 10.12259/j.issn.2095-610X.S20220919

Citation:

Linling ZHU, Chenggang WANG, Hongliang YANG, Xiangling WEN. Observation of the Curative Effect of Enlarged and Opened Middle Turbinate Combined with Nerve Branch Block in Patients with Refractory Sinusitis[J]. Journal of Kunming Medical University, 2022, 43(9): 96-100. doi: 10.12259/j.issn.2095-610X.S20220919

Citation:

Linling ZHU, Chenggang WANG, Hongliang YANG, Xiangling WEN. Observation of the Curative Effect of Enlarged and Opened Middle Turbinate Combined with Nerve Branch Block in Patients with Refractory Sinusitis[J]. Journal of Kunming Medical University, 2022, 43(9): 96-100. doi: 10.12259/j.issn.2095-610X.S20220919

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Observation of the Curative Effect of Enlarged and Opened Middle Turbinate Combined with Nerve Branch Block in Patients with Refractory Sinusitis

doi: 10.12259/j.issn.2095-610X.S20220919

Dept. of Otolaryngology，The 2nd People’s Hospital of Qujing，QujingYunnan 655099，China

Received Date: 2022-06-19
Publish Date: 2022-09-25

Abstract

Abstract

Objective To investigate the curative effect of sinus enlargement and opening partial middle turbinate resection combined with nerve branch block in patients with refractory sinusitis. Methods A total of 60 patients with refractory sinusitis admitted to the Otolaryngology Department of The Second People’ s Hospital of Qujing city from May 2019 to May 2021 were selected and divided into 2 groups by random number table method. The control group （n = 30 cases） was treated with sinus enlargement and middle turbinate resection, while in the study group （n = 30 cases）, sinus enlargement, middle turbinectomy and nerve branch occlusion were performed. The effective rate, recurrence rate, visual analogue scale （VAS）, clinical symptom score and clinical level indexes of the two groups were observed and analyzed. Results The effective rate of operation in the study group was higher than that in the control group, and the recurrence rate was lower than that in the control group. The differences were statistically significant （P = 0.021, 0.007）. VAS scores of 3 months, 6 months and 1 year after the operation in the study group were lower than those in the control group and the differences were statistically significant （P = 0.041, 0.039, 0.017）. The clinical symptom score of the study group was lower than that of the control group and the differences were statistically significant （P = 0.028, 0.037, 0.010, 0.022）. EOS, IFN-γ and basophils in the study group were better than those in the control group, and the differences were statistically significant （P = 0.029, 0.003, 0.045）. Conclusion The treatment of refractory sinusitis with sinus enlargement, middle turbinate resection and nerve branch block can relieve the clinical symptoms and reduce the recurrence rate, which is worthy of application.
- Expansion and opening of sinuses,
- Major resection of middle turbinate,
- Nerve branch block,
- Refractory sinusitis,
- Clinical efficacy,
- VAS score

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References(20)

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