Study on the short-term effects of modified frontal sinus endoscopic surgery in the treatment of refractory rhinosinusitis

ObjectiveTo investigate the short-term efficacy of modified frontal sinus endoscopic surgery in the treatment of refractory rhinosinusitis.

MethodsSeventy-eight patients with refractory rhinosinusitis were divided into the control group and observation group according to the random number table method(39 cases in each group).The control group was treated with sinus open surgery, and the observation group was treated with the modified frontal sinus endoscopic surgery.Two groups were followed up for 3 months.The incidence rate of complication, recurrence rate, olfactory function before and after operation, nasal mucosa ciliary transport rate and quality of life were compared between two groups.

ResultsThe total effective rate in observation group was significantly higher than that in control group(P < 0.01).The smell level in observation group was significantly better than that in control group(P < 0.05).After 3 months of operation, the nasal mucosa ciliary transport rates in two groups increased compared with before operation(P < 0.01), and which in observation group was significantly higher than that in control group(P < 0.01).The incidence rate of postoperative complications and recurrence rate in observation group(7.69% and 2.56%) were lower than those in control group(25.64% and 20.51%), respectively(P < 0.05).The symptoms of mental function and physical function in two groups after operation were significantly improved compared with those before operation(P < 0.01), and the improvement in observation group was more obvious than that in the control group(P < 0.01).

ConclusionsThe modified frontal sinus endoscopic surgery in the treatment of refractory rhinosinusitis can effectively improve the nasal mucociliary transmission rate, significantly improve the patient's olfactory function and quality of life, and is high safety and not easy to relapse.