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| The effect comparison between septum suture and nasal cavity filling after septum diorthosis |
| FU Baohua1 LIU Hong2▲ CHEN Fuquan2 ZHOU Min2 |
1.Operating Room of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Shaanxi Province, Xi′an 710000, China;
2.Department of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Shaanxi Province, Xi′an 710000, China |
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Abstract Objective To compare the effects of septum suture and nasal cavity filling after septum diorthosis. Methods The clinical data of 100 patients with perennial angiokinesis rhinitis combined with septal deviation in Department of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University from January 2016 to January 2017 were retrospectively analyzed. According to the treatment after septum diorthosis, patients were divided into septum suture group (50 cases) and nasal cavity filling group (50 cases). The VAS scores of clinical symptoms, clinical effects, nasal bleeding within 24 h after surgery, hematoma of nasal septum after surgery, ankylorrhinia of the two groups were compared. Results The VAS scores of nasal pain, headache, nasal obstruction, lacrimation, tinnitus/ear fullness, dysphagia, dyscoimesis, pain uncomfortable of clean up the nasal cavity after surgery of the nasal cavity filling group were higher than those of the septum suture group, the differences were statistically significant (P < 0.05). The total effective rate, nasal bleeding within 24 h after surgery, hematoma of nasal septum after surgery, ankylorrhinia between the two groups had no statistically significant differences (P > 0.05). Conclusion The clinical treatment effect between septum suture and nasal cavity filling after septum diorthosis has no obviously difference, but the pain of septum suture is lighter than nasal cavity filling treatment, which is worthy of clinical application.
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[1] 戴梦源，陈始明，陶泽璋，等.鼻中隔缝合对比鼻腔填塞用于鼻中隔偏曲矫正术的Meta分析[J].中华临床医师杂志：电子版，2013，7（9）：3957-3962.
[2] Reitzen SD，Chung W，Shah AR.Nasal septal deviation in the pediatric and adult populations [J]. Ear Nose Throat J，2011，90（3）：112-115.
[3] Lemmens W，Lemkens P. Septal suturing following nasal septoplasty，a valid alternative for nasal packing [J]. Acta oto-rhino-laryngologica Belg，2001，55（3）：215-221.
[4] 张萌，许浚，金香花，等.鼻中隔成形术中鼻中隔缝合法与鼻腔填塞法的效果比较[J].山东大学耳鼻喉眼学报，2016，30（5）：92-93.
[5] Shaw CL，Dymock RB，Cowin A，et al. Effect of packing on nasal mucosa of sheep [J]. J Laryngol Otol，2000，114（7）：506-509.
[6] 牛春生，杨强，孟昭君.鼻中隔矫正术后鼻中隔缝合的疗效评价[J].中国医学文摘耳鼻咽喉科学，2015，30（4）：214-215.
[7] 杨名保，张艳红，贾小莉，等.鼻中隔缝合技术在鼻中隔偏曲矫正术后的应用[J].中国耳鼻咽喉头颈外科，2013， 20（7）：349-352.
[8] 赵素萍，杨仕明.鼻中隔偏曲矫正术后不同处理方法对患者舒适度的影响[J].中国耳鼻咽喉头颈外科，2013，20（10）：534-536.
[9] 傅国武.经鼻内窥镜下鼻中隔穿孔修补术治疗鼻中隔穿孔的临床效果观察[J].中国医药科学，2016，6（6）：206-208.
[10] 李大伟，王玮，林燕.鼻内镜下鼻中隔矫正术后鼻中隔缝合和鼻腔填塞疗效的对比研究[J].临床耳鼻咽喉头颈外科杂志，2016，30（5）：381-382.
[11] 王昊，邢志敏，袁晓培，等.鼻中隔缝合与鼻腔填塞在鼻中隔偏曲矫正术中的效果比较[J].临床耳鼻咽喉头颈外科杂志，2011，25（23）：1068-1070，1075.
[12] 钟朝官，郑云开，刘字.改良鼻中隔矫正术治疗血管运动性鼻炎伴鼻中隔偏曲的疗效观察[J].中国耳鼻咽喉颅底外科杂志，2017，23（2）：168-170.
[13] Eren E，Arslanoglu S，Aktas A，et al. Factors confusing the diagnosis of laryngopharyngeal reflux： the role of allergic rhinitis and inter-rater variability of laryngeal findings [J]. Eur Arch Otorhinolaryngol，2014，271（4）：743-747.
[14] Jones BL，Kearns G，Neville KA，et al. Variability of histamine pharmacodynamic response in children with allergic rhinitis [J]. J Clin Pharmacol，2013，53（7）：731-737.
[15] Fuertes E，Brauer M，MacIntyre E，et al. Childhood allergic rhinitis，traffic-related air pollution，and variability in the GSTP1，TNF，TLR2，and TLR4 genes：Results from the TAG Study [J]. J Allergy Clin Immunol，2013，132（2）：342-352.
[16] 马莉，李荣，马珺，等.鼻中隔矫正术及下鼻甲部分切除术治疗血管运动性鼻炎临床效果分析[J].中国现代医生，2016，54（32）：77-79.
[17] 姜双仙，李小林，华彤.鼻内镜下应用二线减张法行鼻中隔矫正术40例疗效分析[J].上海医药，2015，36（5）：40-42.
[18] Korkut AY，Teker AM，Yazici MZ，et al. Surgical outcomes of primary and revision endoscopic dacryocystorhinostomy [J]. J Craniofac Surg，2010，21（6）：1706-1708.
[19] Mokbel KM，Abd Elfattah AM，El SK. Nasal mucosal contact points with facial pain and/or headache： lidocaine can predict the result of localized endoscopic resection [J]. Eur Arch Otorhinolaryngol，2010，267（10）：1569-1572.
[20] Pingarrón Martín L，Arias Gallo LJ，López-Arcas JM，et al. Fibroscopic findings in patients following maxillary osteotomies in orthognathic surgery [J]. J Craniomaxillofac Surg，2011，39（8）：588-559.
[21] Ke Z，Liao S，Xiong M，et al. Preliminary approach of deep and superficial layer under intranasal endoscope operation for nasal septum malignant tumour [J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery，2010，24（14）：645-647. |
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