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| Analysis of Risk Factors for the Development of Otitis Media with Effusion Following Endoscopic Surgery for Chronic Rhinosinusitis |
| GAN Huiyun, DU Jingdong, OUYANG hong, et al |
| Renhe Hospital Affiliated to Three Gorges University, Hubei Yichang 443001, China |
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Abstract Objective: To investigate the risk factors of otitis media with effusion (OME) following endoscopic surgery for chronic rhinosinusitis (CRS). Methods: The clinical data of 218 patients with CRS endoscopic surgery admitted to the hospital from February 2016 to February 2020 were reviewed. The incidence of OME in patients with CRS after endoscopic surgery was calculated. The risk factors that may influence OME in patients with CRS after endoscopic surgery were summarized and the ratio of possible risk factors in patients with and without CRS was compared. Logistic regression analysis was used to investigate the risk factors for OME in CRS patients after endoscopic surgery. Results: In this group, there were 16 patients with postoperative OME, with an incidence of 7.34%. The patients with a history of allergic rhinitis, recurrent respiratory tract infection, poor mastoid gasification, nasal polyp, and nasal decongestant used for a long time before surgery composition ratio were all higher than those without (P<0.05). The proportion of patients with regular postoperative surgical cavity cleaning, postoperative intranasal glucocorticoids, postoperative antibiotics, and mucus thinning agents was lower than that of those without (P<0.05). Logistic regression analysis showed that a history of allergic rhinitis, recurrent respiratory infections, poor mastoid gasification, nasal polyps, and nasal decongestant used for a long time before surgery were independent risk factors for OME after CRS endoscopic surgery (P<0.05). Postoperative regular intraoperative cavity cleaning, postoperative intranasal glucocorticoids, postoperative antibiotics, and mucus thinning agents were all protective factors (P<0.05). Conclusion: CRS patients are complicated with OME endoscopic surgical management risk, and the history of allergic rhinitis repeated respiratory infection, mastoid gasification, nasal polyps, nasal decongestant used for a long time before surgery are the risk factors, and postoperative regular cavity cleaning, postoperative application of intranasal corticosteroids, postoperative application of antibiotics, postoperative mucus thinning agent were the protection factors, to strengthen the prevention and control.
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2022, Vol. 28 
