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| A Controlled Study of Nasal Endoscopy-Assisted Excisional Suction Knife Surgery in Adenoid Hypertrophy |
| ZHOU Rongjin |
| Dongtai People's Hospital, Jiangsu Yancheng 224200, China |
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Abstract Objective: To investigate the effectiveness of nasal endoscopy-assisted excisional suction knife surgery in the treatment of adenoid hypertrophy in patients with nasal resistance, nasal acoustic reflex, olfactory function and trauma response indicators. Methods: From February 2019 to February 2021, 106 patients with adenoid hypertrophy in our hospital were selected and divided into nasal endoscopic group (n=54) and traditional group (n=52) according to the different treatment procedures. In the nasal endoscopy group, nasal endoscopy-assisted cutting suction knife surgery was performed, and in the traditional group, blind scraping of the adenoids was performed with an adenoid scraper. Comparison was made on the efficacy, complications and trauma response indicators [tumour necrosis factor-α (TNF-α), C-reactive protein (CRP), intercellular adhesion factor-1 (ICAM-1)], nasal resistance, nasal acoustic reflexes [nasal cavity volume (NCV), nasal minimum cross-sectional area (NMCA), minimum cross-sectional distance from the anterior nostril (DCAN)], olfactory function [odour identification (OI), odour discrimination (OD), odour threshold (OT), total score (TDI)] before, at 12h and 24h after surgery, and at 6 months after surgery between the two groups.Results: After treatment, the total effective rate of 96.30% in the nasal endoscopy group was significantly higher than that of 80.77% in the traditional group (P<0.05); the serum TNF-α, CRP and ICAM-1 levels at 12h and 24h after surgery in both groups were higher than those before surgery, but lower in the nasal endoscopy group than in the traditional group (P<0.05); compared with the preoperative period, the pre-systolic and post-systolic nasal resistance and DCAN levels at 1 week after surgery in both groups were lower and NCV and NMCA levels were higher in both groups, and the nasal endoscopy group was better than the traditional group (P<0.05); compared with the preoperative period, OI, OD, OT and TDI scores were higher in both groups at 6 months postoperatively, and the scores in the nasal endoscopy group were higher than those in the traditional group (P<0.05); the postoperative complication rate was lower in the nasal endoscopy group at 6.25% compared with the traditional group at 29.03% (P<0.05). Conclusion:The use of nasal endoscopy-assisted excisional suction knife surgery to treat patients with adenoid hypertrophy can improve nasal resistance and nasal acoustic reflexes, enhance olfactory function, reduce surgical trauma, reduce complications, effectively improve the efficacy, and be safe and reliable.
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2022, Vol. 28 
