Effect of posterior nasal Nerve Resection on Patients with recurrent Sinusitis and Polyps
Objective To analyze the impact of posterior nasal nerve resection on patients with recurrent sinusitis and polyps.Methods A total of 76 patients with recurrent sinusitis and polyps treated from June 2020 to December 2023 were included as the study subjects.They were randomly divided into two groups using a single or even number drawing method,with 38 odd numbered patients assigned to the control group for functional endoscopic surgery;Another 38 even numbered individuals were enrolled in the study group and underwent functional endoscopic surgery combined with posterior nasal nerve resection for treatment.The disease recurrence rate,sino-nasal outcome test-20(SNOT-20)score,Lund-Kennedy nasal endoscopy score,and serum inflammatory factor C-reactive protein(CRP)levels were compared between two groups within one year before and after treatment.Results The disease recurrence rate within 1 year after surgery in the study group(2.63%)was lower than that in the control group(31.58%),and the difference was statistically significant(P＜0.05);Before treatment,there was no statistically significant difference in SNOT-20 scores between the two groups(P＞0.05).After treatment,the SNOT-20 scores of the two groups were lower than those before treatment,and the SNOT-20 scores of the study group were lower than those of the control group,with a statistically significant difference(P＜0.05);There was no statistically significant difference in the Lund-Kennedy nasal endoscopy scores between the two groups before treatment(P＞0.05).After treatment,the Lund Kennedy nasal endoscopy scores of the two groups were lower than those before treatment,and the Lund-Kennedy nasal endoscopy scores of the study group were lower than those of the control group,with a statistically significant difference(P＜0.05);There was no statistically significant difference in CRP levels between the two groups before treatment(P＞0.05).After treatment,the CRP levels in the two groups were lower than those before treatment,and the study group was lower than the control group,with a statistically significant difference(P＜0.05).Conclusion Patients with recurrent sinusitis and polyps who undergo posterior nasal nerve resection surgery can reduce the recurrence rate of the disease,reduce disease-related symptoms,and lower inflammatory factors,which is worthy of application.
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