Influence of functional endoscopic sinus surgery and maxillary sinus intranasal fenestration on nasal mucociliary function of chronic rhinosinusitis
Objective:To compare the influence of functional endoscopic sinus surgery(FESS)and maxillary sinus intranasal fenestration on nasal mucociliary function in patients with chronic rhinosinusitis(CRS).Methods:Seventy patients with CRS in the hospital from January 2023 to January 2024 were collected.According to the surgical treatment methods,the patients were divided into fenestration group(n=33,maxillary sinus intranasal fenestration)and FESS group(n=37,FESS treatment).Visual Analogue Scale(VAS),Modified Lund-Kennedy Nasal Endoscopy Scoring System(MLK),nasal mucociliary function indexes and Sino-Nasal Outcome Test-20(SNOT-20)were compared between groups before and after surgery.Results:At 6 months after surgery,the scores of VAS,MLK and SNOT-20 in the two groups were decreased,and the above scores in FESS group were lower than those in fenestration group(P<0.05).The nasal mucociliary transport rate and nasal mucociliary clearance rate were enhanced in both groups,and the indexes were higher in FESS group than those in fenestration group(P<0.05).Conclusion:Compared with maxillary sinus intranasal fenestration,FESS is more conducive to the recovery of postoperative nasal mucociliary function in patients with CRS,and can more effectively improve nasal ventilation,drainage,nasal mucosal status and quality of life in patients with CRS.
Chronic rhinosinusitisFunctional endoscopic sinus surgeryMaxillary sinus intranasal fenestrationNasal mucociliary function
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NSTL
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