CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS
Objective To explore the surgical method and clinical effect of nasal endoscope-assisted resection of maxillary cysts and the related factors affecting the clinical symptoms of maxillary cysts. Methods The clinical data of 34 patients with maxillary cysts admitted to our department from May 2018 to...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Precision Medicine
2023-04-01
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| Series: | 精准医学杂志 |
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| Online Access: | https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/202302016.pdf |
| _version_ | 1827320329106620416 |
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| author | ZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao |
| author_facet | ZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao |
| author_sort | ZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao |
| collection | DOAJ |
| description | Objective To explore the surgical method and clinical effect of nasal endoscope-assisted resection of maxillary cysts and the related factors affecting the clinical symptoms of maxillary cysts. Methods The clinical data of 34 patients with maxillary cysts admitted to our department from May 2018 to May 2022 were collected to analyze the selection of surgical methods and treatment effects of nasal endoscope-assisted resection of maxillary cysts. At the same time, the visual analogue scale (VAS) score of patients’ nasal and facial discomfort at different time points before and after surgery was collected to analyze its influencing factors. Results Six patients underwent endoscopic sinus fenestration surgery through the nasal floor approach; 2 patients underwent endoscopic surgery through the natural ostium of the maxillary sinus approach; 1 patient underwent endoscopic fenestration through the inferior nasal meatus approach; 25 patients underwent endoscopic surgery through the natural ostium of the maxillary sinus combined with the prelacrimal recess approach. Postoperative follow-up for 5-24 months showed good mucosal epithe-lialization of the surgical cavity, significant relief of symptoms, unobstructed drainage of the cystic cavity, and no recurrence in these cases. The preoperative VAS scores of patients in the maxillary sinus group were significantly higher than those in the nasal floor group (t=2.242,P<0.05). The preoperative VAS scores of patients in the odontogenic maxillary cyst group were significantly higher than those in the non-odontogenic maxillary cyst group (t=2.329,P<0.05). Conclusion Nasal endoscope-assisted resection of maxillary cysts can completely remove the lesion and establish sufficient drainage channels, bringing a fast recovery, few complications, and low recurrence rate to patients. It is worthy of clinical application. |
| first_indexed | 2024-04-25T00:43:55Z |
| format | Article |
| id | doaj.art-35cf71d64b484e60ba6546c1b7b2d28c |
| institution | Directory Open Access Journal |
| issn | 2096-529X |
| language | zho |
| last_indexed | 2024-04-25T00:43:55Z |
| publishDate | 2023-04-01 |
| publisher | Editorial Office of Journal of Precision Medicine |
| record_format | Article |
| series | 精准医学杂志 |
| spelling | doaj.art-35cf71d64b484e60ba6546c1b7b2d28c2024-03-12T06:46:43ZzhoEditorial Office of Journal of Precision Medicine精准医学杂志2096-529X2023-04-0138216917110.13362/j.jpmed.202302016CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTSZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao0Department of Otolaryngo-logy, Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, ChinaObjective To explore the surgical method and clinical effect of nasal endoscope-assisted resection of maxillary cysts and the related factors affecting the clinical symptoms of maxillary cysts. Methods The clinical data of 34 patients with maxillary cysts admitted to our department from May 2018 to May 2022 were collected to analyze the selection of surgical methods and treatment effects of nasal endoscope-assisted resection of maxillary cysts. At the same time, the visual analogue scale (VAS) score of patients’ nasal and facial discomfort at different time points before and after surgery was collected to analyze its influencing factors. Results Six patients underwent endoscopic sinus fenestration surgery through the nasal floor approach; 2 patients underwent endoscopic surgery through the natural ostium of the maxillary sinus approach; 1 patient underwent endoscopic fenestration through the inferior nasal meatus approach; 25 patients underwent endoscopic surgery through the natural ostium of the maxillary sinus combined with the prelacrimal recess approach. Postoperative follow-up for 5-24 months showed good mucosal epithe-lialization of the surgical cavity, significant relief of symptoms, unobstructed drainage of the cystic cavity, and no recurrence in these cases. The preoperative VAS scores of patients in the maxillary sinus group were significantly higher than those in the nasal floor group (t=2.242,P<0.05). The preoperative VAS scores of patients in the odontogenic maxillary cyst group were significantly higher than those in the non-odontogenic maxillary cyst group (t=2.329,P<0.05). Conclusion Nasal endoscope-assisted resection of maxillary cysts can completely remove the lesion and establish sufficient drainage channels, bringing a fast recovery, few complications, and low recurrence rate to patients. It is worthy of clinical application.https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/202302016.pdfjaw cysts|maxilla|endoscopy|nasal surgical procedures|treatment outcome |
| spellingShingle | ZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS 精准医学杂志 jaw cysts|maxilla|endoscopy|nasal surgical procedures|treatment outcome |
| title | CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS |
| title_full | CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS |
| title_fullStr | CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS |
| title_full_unstemmed | CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS |
| title_short | CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS |
| title_sort | clinical analysis of nasal endoscope assisted resection in 34 patients with maxillary cysts |
| topic | jaw cysts|maxilla|endoscopy|nasal surgical procedures|treatment outcome |
| url | https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/202302016.pdf |
| work_keys_str_mv | AT zhaotongwanglinpushanshanpangwenhuizhengyinghehaiyanjujianbao clinicalanalysisofnasalendoscopeassistedresectionin34patientswithmaxillarycysts |