Effect on the Recovery Process of Post-operation of Nasal Endoscope Influenced by Chinese Soup Preparation of ShufengTongqiao Decoction
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Objective: To assess the action of Chinese soup preparation of ShufengTongqiao Decoction on the recovery of nasal sinus mucosa after endoscopic sinus surgery(ESS).Methods: One hundred and twenty patients(235 sinus) with chronic nasosinusitis,who had undergone ESS,were divided into two groups.The 60 patients(118 sinuses) in the experiment group were treated with daily nasal flushing and taking orally with Chinese soup preparation of ShufengTongqiao Decoction while the 60 patients(117sinuses) in the control group were treated by conventional means.Tissues of nasal mucosa were taken out from patients maxillary sinus ostium at different time points,I.e.2 weeks,8 weeks,10 weeks after ESS were observed.Compared with the recovery process of nasal sinus mucosa of the two groups.Results: Significant differences were shown between the two groups at all the time points in occurrence(patient/sinus)(P0.05).Light microscopic examination showed significant differences between the two groups in occurrence(patient/sinus) of squamous epithelial metaplasia and fiber tissues proliferation(P0.05).Conclusion: Using Chinese soup preparation of ShufengTongqiao Decoction for postoperative nasal flushing and taking orally after ESS is a manageable approach with effects in promoting nasal mucosa recovery.Keywords:
Decoction
Sinus (botany)
Ostium
Endoscope
Therapeutic effect
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Objective To analyze the effect of ringer's solution in nasal flushing after endoscopic sinus surgery. Methods 88 patients treated in our hospital from May 2014 and January 2015 in our hospital were selected and randomly divided into study group(Ringer nasal irrigation) and control group(saline nasal irrigation) with 44 in each group. The incidence of nasal adhesions, dura-tion for remission of symptoms and repair duration of nasal mucosal of the two groups were compared after 2 months follow-up.Results The incidence of nasal adhesion of the study group, 2.27%, was significantly lower than that of the control group, 13.64%,and the differences between the two groups was significantly(χ2=8.34, P =0.038); remission duration of hyposmia and intranasal empyema of the treatment group were(8.21±1.42)d、(6.86±1.21)d respectively, while those of the control group were(12.86±4.21)d and(9.09±1.02)d, respectively, and the differences were statistically significant(P0.05).Conclusion Ringer's solution in nasal flushing after endoscopic sinus surgery is beneficial to the repair of nasal mucosal and relief of clinical symptoms, and can avoid nasal adhesions, therefore it is worthy of promotion.
Sinus (botany)
Endoscopic sinus surgery
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Objectives/Hypothesis To evaluate the potential efficacy of steroid‐soaked, absorbable calcium alginate nasal packing following endoscopic sinus surgery. Study Design Prospective, randomized, single‐blinded, placebo‐controlled trial. Methods Twenty‐two patients (44 nostrils) who had chronic rhinosinusitis with polyps underwent bilateral endoscopic sinus surgery. Only those with an intersinus difference in Lund‐Mackay severity score of 1 or less were included. In each patient, one randomly selected nostril was packed with calcium alginate soaked with 2 mL of triamcinolone (40 mg/mL) (triamcinolone group), whereas the contralateral nostril received an identical packing soaked in 2 mL of normal saline (saline group). Two independent investigators blinded to the packing allocation scored the surgical field using the validated Perioperative Sinus Endoscopy (POSE) scores 1, 4, and 8 weeks after surgery. Results All 44 nostrils were analyzed; the Lund‐Mackay scores did not differ significantly between the groups before surgery. Eight weeks after surgery, the total POSE scores were significantly lower in the triamcinolone group ( P = .014). The POSE scoring parameters were then compared between groups, and the following variables were significantly different: middle turbinate synechiae with the lateral wall ( P = .037), polypoid degeneration of the ethmoid cavity ( P = .006), and sphenoid sinus severity ( P = .036). Conclusions This study demonstrated that steroid‐soaked, absorbable nasal packing can be used to enhance wound healing after endoscopic sinus surgery and to prevent polypoid changes in the nasal mucosa. Level of Evidence 1b. Laryngoscope , 128:311–316, 2018
Nostril
Sinus (botany)
Endoscopic sinus surgery
Nasal Polyps
Mucociliary clearance
Nasal packing
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Objective:To discuss the application and effects of nasal irrigation after endoscopic sinus surgery in nose-sinusitis treatment.Methods:Selected 284 patients in our hospital endoscopic sinus surgery from September 2007 to September 2010 and divided into treatment group and control group randomly.Treatment group had 142 patients and for drug nasal irrigation and nasal endoscopy dressing after endoscopic sinus surgery.Control group had 142 patients and took routine endoscopic nasal dressing.Compared efficacy of two groups after 2 months.Results:After 2 months,the treatment group were cured 72 patients,improved in 50 cases,20 cases ineffective,the effective rate was 85.92%.Control group,46 patients were cured,34 cases improved,62 cases ineffective,the effective rate was 56.34%,the cure rate and total effective rate were significantly different(P<0.05).Conclusion:Sinusitis nasal lavage increases the cure rate and reduces postoperative side effects.
Endoscopic sinus surgery
Cure rate
Sinus (botany)
Nasal Lavage
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Objective To observe the curative effect of traditional Chinese medicine irrigation on functional endo-scopic sinus surgery(FESS),and to investigate its mechanism. Methods One hundred patients with nasosinusitis and rhinopolyps who had received FESS were randomly divided into two groups. Nasal washing was performed after pulling out the gauze 2 days after the surgery. Sodium Chloride(100 mL) in control group(n=50) and self-made traditional Chinese medicine solution(100 mL) in experiment group(n=50) was used to wash the nasal cavity twice per day in the former 2 months and once per day in the third month. The expression of inducible nitric oxide synthase (iNOS)in nasal polyps and mucosa around the nasal meatus and apertures was studied by means of immunohistochemistry. Results The curative effect of the experiment group was better than the control group.The expression of iNOS was not significantly different between the two groups during the operation,but at 3 months postoperation (P0.05). Conclusions Washing with self-made traditional Chinese medicine solution could improve the curative effect,which might be done by regulating the inducible nitric oxide synthase expression in NP after FESS.
Nasal Polyps
Sinus (botany)
Meatus
Chronic Rhinosinusitis
Endoscopic sinus surgery
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Objective To analyze the clinical efficacy and relevant nursing in treatment of acute and chronic nasosinusitis in children by puncture and irrigation of maxillary sinus.Methods Analysis on treatment of 320 patients with acute and chronic nasosinusitis(with age range of 7 to 12 years old) were carried out with randomized and parallel-designed method,they were divided into trial group(n=160) and control group(n=160).Patients in both groups were taken with oral solution for sinusitis 10 ml tid.Patients in trial group were additionally received puncture of maxillary sinus under nasal mucosa anesthesia and repeatedly washing with metronidazole in 0.9% sodium chloride solution,and injection of dexamethasone(5 mg) into antrum after washing,once a week,and nasal drops of 1 % furacillin ephedrine solution,three times a day for 15 days as a therapeutic course.Patients in control group were applied with broad-spectrum antibiotics and nasal drops of 1 % furacillin ephedrine solution,three times a day for 15 days as a therapeutic course.All patients were followed up once a month.Results The cure rate of patients in trial group was 84.38% with a total effective rate of 98.75%.It was significantly higher than that of patients in control group(P0.01).Conclusion The application with puncture and irrigation of maxillary sinus for treatment of acute and chronic nasosinusitis in children is reliable and effective.It is important to evaluate the severity of disease in childish patients before puncture,and implementing health education and offering psychological care can guarantee the success of treatment.
Sinus (botany)
Therapeutic effect
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Objective
To explore the clincal efficacy of hypertonic saline nasal sinus irrigation after endoscopic surgery for chronic rhinosinusitis.
Methods
A total of 104 patients diagnosed as chronic rhinosinusitis in the Second People’s Hospital of Xinxiang from May 2014 to March 2017 were selected and divided into routine group and observation group according to the stratified random method. And all patients were given functional endoscopic sinus surgery and then given the corresponding antibiotics and glucocorticoids after operation. The routine group was given normal saline for irrigation, and observation group was given hypertonic saline for nasal sinus lavage. And their dosages was reduced according to the patients’ postoperative recovery, and patients were followed up at 6 months after operation. The improvements of postoperative luminal mucosa and clinical symptoms were observed in the two groups, and the mucosal epithelialization time of the surgical cavity was recorded, and the occurrence of adverse reactions during the follow-up was counted in the two groups.
Results
The total effective rate in routine group was significantly lower than that in observation group (76.9% vs. 92.3%, P 0.05). The constituent ratios of the mucosal epithelialization time 12 weeks were 1.9%, 25.0%, 46.2% and 26.9%, respectively, in routine group, and they were 3.8%, 51.9%, 26.9% and 17.3% respectively in observation group, which were significantly shorter than those in routine group (P<0.05). And there were no adverse reactions in the two groups.
Conclusions
Hypertonic saline nasal sinus irrigation can significantly improve the surgical efficacy of endoscopic surgery, and promote the recovery of nasal mucosa function, with high safety.
Key words:
Nasal sinus lavage; Chronic rhinosinusitis
Hypertonic saline
Chronic Rhinosinusitis
Nasal Lavage
Sinus (botany)
Endoscopic sinus surgery
Therapeutic irrigation
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Objective:To investigate the local treatment of chronic nasal secretion after nasal surgery.Methods: One hundred and ninety four patients with chronic nasal secretion after nasal surgery,34 with Septumectomy,90 with Septumectomy and Partial Inferior Turbinectomy,70 with Nasal Polypectomy,were divided into two groups: treatment group(TG) and control group(CG).Patients in TG were treated with Shanbang medication and injection into nasal cavity while with nasal drip.Patients in CG were treated with physiological sodium chloride solution and injection into nasal cavity while with nasal drip.All patients were followed up for a week to a month.Results: Patients in treatment group got recovery quickly than patients in control group.Conclusion: Shanbang medication and injection into nasal cavity after nosal surgery is an effective method.
Turbinectomy
Nasal Polyps
Polypectomy
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Objective To study the curative effect and nursing intervention of performing nasal irrigation with Biyuan Nasal Lotion made from Chinese herbal medicine after functional endoscopic sinus surgery.Methods 67 cases were selected from the patients who suffered from chronic sinusitis or nasal polyp and who received the functional endoscopic sinus surgery in our hospital from May 2011 to May 2013.These patients were randomly divided into two groups,33 patients for the control group and 34 patients for the observation group.After surgery,the patients in both groups were given nasal irrigation treatment based on antibiotic and hormone therapy.The control group used saline nasal solution for nasal irrigation while the observation group used Biyuan Nasal Lotion.The patients in both groups performed the nasal irrigation in the same manner,at the same time,received the same strengthened discharge instructions and after-discharge management.Comparison and evaluation were conducted between the two groups after over 6 months' continuous follow up.Result The total effective rate of the observation group was 97.1％ and that of the control group was 84.85％ (P ＜ 0.05).Conclusion Using Biyuan Nasal Lotion made from Chinese herbal medicine after functional endoscopic sinus surgery has satisfactory result and it can increase the cure rate of surgeries.
Key words:
Biyuan nasal lotion; Functional endoscopic sinus surgery; Nasal irrigation; Nursing
Lotion
Endoscopic sinus surgery
Nasal Polyps
Sinus (botany)
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Objective To investigate the effect of irrigating to the operative cavity with Sanhuang Iirrigating Solution (SIS) on the therapeutic effect of endoscopic sinus surgery (ESS) on chronic sinusitis and/or nasal polyps and on the recovering progress of nasal mucous membrane following the surgery. Methods Included in this study were sixty-six cases with chronic sinusitis and/or nasal polyps received ESS. They were randomly divided into two groups, with 33 cases in each. All the cases in the 2 groups were given routine treatment after the operation, with those in treating group (TG) treated additionally by irrigating the operative cavity with SIS and those in controlling one (CG) treated additionally by irrigating the operative cavity only with 0.9% N.S. following the operation. Then, the therapeutic effect was evaluated under endoscope by the end of following up period last for 6 months and compared between the 2 groups, based on a standardized therapeutic effect evaluating system. Result The extinctive course of edema in nasal mucous was obviously shorter and the speed of epithelization in nasal mucosa was significantly higher in TG than that in CG, with a significant difference between them (P0.05). Conclusions Irrigating to the operative cavity with SIS is very beneficial to the promotion of nasal mucosa recovering following endoscopic sinus surgery and can result in a better morphological recovery.
Therapeutic effect
Endoscopic sinus surgery
Sinus (botany)
Endoscope
Nasal Polyps
Chronic sinusitis
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Objective To evaluate the efficacy of nasal inhalation with Chinese medicine in chronic rhinosinusitis(CRS) after endoscopic sinus surgery(ESS).Methods 63 cases of CRS were randomly divided into the treatment group(33 cases) and the control group(30 cases),and all had nasal inhalation following endoscopic sinus surgery(ESS).Bidouyan-oral was used for the treatment group,twice a day,at 8 mL,for five consecutive days,and then changed to once a week for 3 months.The control group used saline nasal inhalation,in the same way.Before inhalation,5 days and 3 months later,the two groups were assessed in visual analogue scale,Lund-Kennedy score system and Lund-Mackay score system.Results On subjective symptoms,nasal endoscopy and sinus CT scan to check assessment,the difference between the treatment and control groups were significant.Before and after the spray the difference was also significant in each groups.Conclusion CRS patients after ESS for adjuvant use of traditional Chinese medicine treatment of inhalation,can significantly improve the surgical effect.
Chronic Rhinosinusitis
Endoscopic sinus surgery
Sinus (botany)
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