BACKGROUND Chronic sinusitis is a kind of chronic suppurative inflammation of the sinus mucosa.Nasal endoscopy is a good method to treat nasal polyps.However postoperative rehabilitation and care should not be neglect...BACKGROUND Chronic sinusitis is a kind of chronic suppurative inflammation of the sinus mucosa.Nasal endoscopy is a good method to treat nasal polyps.However postoperative rehabilitation and care should not be neglected.AIM To investigate the Effect of nursing intervention on the rehabilitation of patients with chronic sinusitis and nasal polyps(CSNPS)after nasal endoscopy.METHODS A total of 129 patients with CSNPS hospitalized from February 2017 to February 2019 were studied.Using the digital parity method,we investigated nursing cooperation strategies for endoscopic surgery.The comparison group(64 cases):Surgical nursing was carried out with traditional nursing measures;experimental group(65 cases):Surgical nursing was carried out by traditional nursing countermeasures+comprehensive nursing measures.We compared postoperative recovery rates,nursing satisfaction rates,and nasal cavity ratings between the two groups.RESULTS Experimental group patients with CSNPS had a significantly higher recovery rate(98.46%)compared to the control group(79.69%).This difference was statistically significant(χ2=11.748,P<0.05).Additionally,the satisfaction rate with treatment was also significantly higher in the experimental group(98.46%)compared to the control group(79.69%),with a statistically significant difference(χ2=11.748,P<0.05).Before nursing,there was no significant difference in sinus nasal cavity scores between the experimental group(20.29±7.25 points)and the control group(20.30±7.27 points)(t=0.008,P>0.05).However,after nursing,the sinus nasal cavity score in the experimental group(8.85±3.22 points)was significantly lower than that in the control group(14.99±5.02 points)(t=8.282,P<0.05).CONCLUSION Comprehensive nursing intervention in patients with CSNPS can significantly improve the total recovery rate after endoscopic surgery.展开更多
Objective:To explore effective nursing programs for surgical patients with chronic sinusitis(CS).Methods:62 CS surgery patients were randomly divided into a research group and a control group with 31 cases in each gro...Objective:To explore effective nursing programs for surgical patients with chronic sinusitis(CS).Methods:62 CS surgery patients were randomly divided into a research group and a control group with 31 cases in each group.The patients in the research group received cognitive nursing care,while the patients in the control group received routine nursing care.The nursing effects of the two groups were compared.Results:The postoperative quality-of-life scores,health behavior scores,complication rates,and nursing satisfaction scores of the patients in the research group were all better than those of the control group(P<0.05).Conclusion:The cognitive nursing model significantly improves the condition of CS surgery patients,thus it should be popularized.展开更多
Objective: to explore the effect of nasal endoscopic surgery on chronic sinusitis and nasal polyp, and to analyze the impact on sleep quality of patients. Methods: a total of 92 patients were selected from the patient...Objective: to explore the effect of nasal endoscopic surgery on chronic sinusitis and nasal polyp, and to analyze the impact on sleep quality of patients. Methods: a total of 92 patients were selected from the patient data from January 2020 to March 2021, and divided into groups according to the principle of double-blind method, with 46 patients in each group. The control group received conventional surgery, and the study group received nasal endoscopic surgery. Finally from the two groups of efficacy, sleep quality of patients to compare the two indicators, analysis of more advantageous treatment methods. Results: the effective rate was 95.65% in the study group and 89.13% in the control group, P < 0.05. In terms of sleep quality, the study group was better at different time after surgery (P < 0.05). Conclusion: nasal endoscopy can be used to treat chronic sinusitis and nasal polyp. This method can improve the effect of conventional surgery, and ensure the safety and effectiveness of patient treatment;at the same time, it can also improve sleep quality and has obvious advantages, so it can be further promoted.展开更多
BACKGROUND Gallstones are frequently observed in patients with cholecystitis,but the migration of free gallstones into the abdominal wall leading to chronic sinus formation is exceedingly rare.CASE SUMMARY We report a...BACKGROUND Gallstones are frequently observed in patients with cholecystitis,but the migration of free gallstones into the abdominal wall leading to chronic sinus formation is exceedingly rare.CASE SUMMARY We report a case of a 72-year-old woman who experienced recurring fever and abdominal pain following laparoscopic cholecystectomy for acute cholecystitis,during which gallbladder rupture was noted.Despite initial conservative management and temporary T-tube placement,the patient developed a chronic sinus in the abdominal wall 9.5 years later,characterized by an area of thickened soft tissue with ulceration and purulent discharge.Surgical exploration revealed the presence of a migrated gallstone at the base of the sinus tract,necessitating careful surgical removal and postoperative wound care.CONCLUSION This case highlights the potential long-term complications of retained free gallstones and the importance of thorough surgical retrieval.展开更多
Background: Allergic rhinitis (AR) is characterized by mucosal inflammation that leads to a variety of symptoms, such as nasal congestion, rhinorrhea, and sneezing. This rhinitis is triggered by inhalation of allergen...Background: Allergic rhinitis (AR) is characterized by mucosal inflammation that leads to a variety of symptoms, such as nasal congestion, rhinorrhea, and sneezing. This rhinitis is triggered by inhalation of allergens, such as pollen, and this condition has a negative impact on the quality of life. AR was shown to be associated with a number of co-morbidities, including hypothyroidism, asthma, and chronic sinusitis.Objective: This study aimed to assess AR-associated comorbidities in patients presenting symptoms and paranasal sinus computed tomography (CT) scan findings in Taif City, Saudi Arabia.Methods: This cross-sectional study evaluated medical and radiological records of AR patients retrospectively from the period of December 2018 to September 2019 in Al-Hada Armed Forces Military Hospital, Taif City, Saudi Arabia.Results: A total of 103 AR patients with a mean age of 39.0 ± 15.6 years with 55.3% males and 44.7% females. The three most common associated comorbidities in allergic rhinitis patients were chronic sinusitis (28.2%), hypothyroidism (21.4%), and asthma (8.7%). Nasal obstruction (30.1%) was the symptom most frequently presented by all patients. Mucosal thickening occurred most frequently in patients with associated chronic sinusitis, while bilateral osteomeatal complex obliteration was observed mostly in asthmatic patients, and bony boundary thinning was more prevalent among patients with associated hypothyroidism.Conclusion: The gender distribution of AR was 10% more common among males;however, the most common three comorbidites in allergic rhinitis patients were chronic sinusitis, hypothyroidism, and asthma, and most of those patients were females. Hypothyroidism can be a hidden predisposing factor for AR, while chronic sinusitis can be caused by AR due to secretion stasis or immune system activation.展开更多
Objective:To observe the effectiveness and safety of one-time endodontics in the treatment of chronic apical periodontitis with sinus tract in pediatric deciduous teeth.Methods:109 cases of children with chronic apica...Objective:To observe the effectiveness and safety of one-time endodontics in the treatment of chronic apical periodontitis with sinus tract in pediatric deciduous teeth.Methods:109 cases of children with chronic apical periodontitis with sinus tract in the deciduous teeth treated in our hospital from January 2022 to December 2023 were selected and grouped by the randomized numerical table method,with 54 cases in the experimental group and 55 cases in the control group.The experimental group was treated with one-time endodontics and the control group was treated with conventional endodontics.Results:After the treatment,the total effective rate of treatment was higher in the experimental group than in the control group(P<0.05);the incidence of adverse events was lower in the experimental group than in the control group(P<0.05);the satisfaction of the children's family members was higher in the experimental group than in the control group(P<0.05);the pain duration was lower in the experimental group than in the control group(P<0.05).Conclusion:In the experimental group,children with chronic apical periodontitis with sinus tract of the deciduous teeth were given one-time endodontic treatment,and the results of its implementation were relatively good.展开更多
Objective: to analyze the CT imaging anatomy of frontal sinus drainage system and its clinical application value. Methods: 50 patients with chronic sinusitis admitted from November 2019 to October 2020 were selected a...Objective: to analyze the CT imaging anatomy of frontal sinus drainage system and its clinical application value. Methods: 50 patients with chronic sinusitis admitted from November 2019 to October 2020 were selected and included in the study. All patients underwent frontal sinus drainage system examination with CT. The patients underwent cross-sectional scanning first, and then underwent coronal and sagittal three-dimensional reconstruction through the workstation. The CT imaging anatomy characteristics of frontal sinus drainage system and its application value in chronic sinusitis were analyzed. Results: in the CT examination results, 100 sides of uncinate process were detected, including the papyraceous lamina, the air chamber of the nasal dome, the middle turbinate, the anterior skull base and the bifurcation accounted for 35.0%, 12.0%, 27.0% and 17.0% respectively, 90 cases of air chamber of the frontal recess were detected, including the terminal air chamber, the air chamber of the nasal dome and the air chamber of the anterior ethmoid, accounted for 55.6%, 22.2% and 22.2% respectively, 92 cases of air chamber of the frontal sinus were detected, including the air chamber of the frontal recess, the air chamber of the supraorbital, the air chamber of the frontal sinus accounted for 32.6% and 43.5%, 23.9% respectively. Conclusion: CT can effectively clarify the anatomical structure of the frontal sinus drainage system and effectively detect various lesions, providing detailed basis for clinical disease diagnosis and surgical treatment.展开更多
Objective:To review and evaluate outcomes of patients with aspirin-exacerbated respiratory disease(AERD)following endoscopic sinus surgery and subsequent aspirin desensitization.Methods:Electronic searches of OVID MED...Objective:To review and evaluate outcomes of patients with aspirin-exacerbated respiratory disease(AERD)following endoscopic sinus surgery and subsequent aspirin desensitization.Methods:Electronic searches of OVID MEDLINE(1948 to September 10,2019),EMBASE(1980 to September 10,2019),and PubMed were performed on September 10,2019.A systematic review of the literature was performed using the 2009 PRISMA guidelines.Studies with both preoperative and postoperative data for patients with AERD who underwent sinus surgery and aspirin desensitization were considered appropriate for inclusion.Publications were written in English and included patients aged 18 years or older.Results:Six studies met inclusion criteria for this systematic review.The primary outcome measure was change in symptom profile measured by patient-reported quality of life scores.The results demonstrate statistically significant improvement in symptoms following endoscopic sinus surgery,with sustained improvement following aspirin desensitization.Revision surgery rates were significantly lower in patients maintained on aspirin therapy.Conclusion:This review suggests that surgery followed by aspirin desensitization results in improvement in both subjective and objective outcome measures.The adjunctive use of aspirin desensitization allows for long-term stability in symptom scores.Recurrence of polyps and worsening symptoms requiring revision surgery occurs when aspirin maintenance therapy is inter-rupted.展开更多
The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease(AERD),who present with the clinical triad of chronic rhinosinusitis with nasal poly...The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease(AERD),who present with the clinical triad of chronic rhinosinusitis with nasal polyposis(CRSwNP),bronchial asthma,and aspirin/nonsteroidal anti-inflammatory drug intolerance.To further define the effectiveness of sinus surgery in treating AERD patients,this review article discusses current evidence regarding outcomes associated with more extensive surgery,the benefits of frontal sinus surgery on polyposis,and the role of Draf III intervention.Numerous studies suggest that Draf III frontal sinusotomy may be an efficacious early intervention due to increased neo-ostial patency and subsequent distribution of topical therapies.Future studies that further investigate the efficacy and safety of extensive surgery in AERD patients are warranted.展开更多
Sinonasal respiratory epithelium is a highly regulated barrier that employs mucociliary clearance(MCC)as the airways first line of defense.The biological properties of the airway surface liquid(ASL),combined with coor...Sinonasal respiratory epithelium is a highly regulated barrier that employs mucociliary clearance(MCC)as the airways first line of defense.The biological properties of the airway surface liquid(ASL),combined with coordinated ciliary beating,are critical components of the mucociliary apparatus.The ASL volume and viscosity is modulated,in part,by the cystic fibrosis transmembrane conductance regulator(CFTR).The CFTR is an anion transporter of chloride(Cl-)and bicarbonate(HCO 3-)that is located on the apical surface of respiratory epithelium and exocrine glandular epithelium.Improved understanding of how dysfunction or deficiency of CFTR influences the disease process in both genetically defined cystic fibrosis(CF)and acquired conditions has provided further insight into potential avenues of treatment.This review discusses the latest data regarding acquired CFTR deficiency and use of CFTR specific treatment strategies for CRS and other chronic airway diseases.展开更多
文摘BACKGROUND Chronic sinusitis is a kind of chronic suppurative inflammation of the sinus mucosa.Nasal endoscopy is a good method to treat nasal polyps.However postoperative rehabilitation and care should not be neglected.AIM To investigate the Effect of nursing intervention on the rehabilitation of patients with chronic sinusitis and nasal polyps(CSNPS)after nasal endoscopy.METHODS A total of 129 patients with CSNPS hospitalized from February 2017 to February 2019 were studied.Using the digital parity method,we investigated nursing cooperation strategies for endoscopic surgery.The comparison group(64 cases):Surgical nursing was carried out with traditional nursing measures;experimental group(65 cases):Surgical nursing was carried out by traditional nursing countermeasures+comprehensive nursing measures.We compared postoperative recovery rates,nursing satisfaction rates,and nasal cavity ratings between the two groups.RESULTS Experimental group patients with CSNPS had a significantly higher recovery rate(98.46%)compared to the control group(79.69%).This difference was statistically significant(χ2=11.748,P<0.05).Additionally,the satisfaction rate with treatment was also significantly higher in the experimental group(98.46%)compared to the control group(79.69%),with a statistically significant difference(χ2=11.748,P<0.05).Before nursing,there was no significant difference in sinus nasal cavity scores between the experimental group(20.29±7.25 points)and the control group(20.30±7.27 points)(t=0.008,P>0.05).However,after nursing,the sinus nasal cavity score in the experimental group(8.85±3.22 points)was significantly lower than that in the control group(14.99±5.02 points)(t=8.282,P<0.05).CONCLUSION Comprehensive nursing intervention in patients with CSNPS can significantly improve the total recovery rate after endoscopic surgery.
文摘Objective:To explore effective nursing programs for surgical patients with chronic sinusitis(CS).Methods:62 CS surgery patients were randomly divided into a research group and a control group with 31 cases in each group.The patients in the research group received cognitive nursing care,while the patients in the control group received routine nursing care.The nursing effects of the two groups were compared.Results:The postoperative quality-of-life scores,health behavior scores,complication rates,and nursing satisfaction scores of the patients in the research group were all better than those of the control group(P<0.05).Conclusion:The cognitive nursing model significantly improves the condition of CS surgery patients,thus it should be popularized.
文摘Objective: to explore the effect of nasal endoscopic surgery on chronic sinusitis and nasal polyp, and to analyze the impact on sleep quality of patients. Methods: a total of 92 patients were selected from the patient data from January 2020 to March 2021, and divided into groups according to the principle of double-blind method, with 46 patients in each group. The control group received conventional surgery, and the study group received nasal endoscopic surgery. Finally from the two groups of efficacy, sleep quality of patients to compare the two indicators, analysis of more advantageous treatment methods. Results: the effective rate was 95.65% in the study group and 89.13% in the control group, P < 0.05. In terms of sleep quality, the study group was better at different time after surgery (P < 0.05). Conclusion: nasal endoscopy can be used to treat chronic sinusitis and nasal polyp. This method can improve the effect of conventional surgery, and ensure the safety and effectiveness of patient treatment;at the same time, it can also improve sleep quality and has obvious advantages, so it can be further promoted.
文摘BACKGROUND Gallstones are frequently observed in patients with cholecystitis,but the migration of free gallstones into the abdominal wall leading to chronic sinus formation is exceedingly rare.CASE SUMMARY We report a case of a 72-year-old woman who experienced recurring fever and abdominal pain following laparoscopic cholecystectomy for acute cholecystitis,during which gallbladder rupture was noted.Despite initial conservative management and temporary T-tube placement,the patient developed a chronic sinus in the abdominal wall 9.5 years later,characterized by an area of thickened soft tissue with ulceration and purulent discharge.Surgical exploration revealed the presence of a migrated gallstone at the base of the sinus tract,necessitating careful surgical removal and postoperative wound care.CONCLUSION This case highlights the potential long-term complications of retained free gallstones and the importance of thorough surgical retrieval.
文摘Background: Allergic rhinitis (AR) is characterized by mucosal inflammation that leads to a variety of symptoms, such as nasal congestion, rhinorrhea, and sneezing. This rhinitis is triggered by inhalation of allergens, such as pollen, and this condition has a negative impact on the quality of life. AR was shown to be associated with a number of co-morbidities, including hypothyroidism, asthma, and chronic sinusitis.Objective: This study aimed to assess AR-associated comorbidities in patients presenting symptoms and paranasal sinus computed tomography (CT) scan findings in Taif City, Saudi Arabia.Methods: This cross-sectional study evaluated medical and radiological records of AR patients retrospectively from the period of December 2018 to September 2019 in Al-Hada Armed Forces Military Hospital, Taif City, Saudi Arabia.Results: A total of 103 AR patients with a mean age of 39.0 ± 15.6 years with 55.3% males and 44.7% females. The three most common associated comorbidities in allergic rhinitis patients were chronic sinusitis (28.2%), hypothyroidism (21.4%), and asthma (8.7%). Nasal obstruction (30.1%) was the symptom most frequently presented by all patients. Mucosal thickening occurred most frequently in patients with associated chronic sinusitis, while bilateral osteomeatal complex obliteration was observed mostly in asthmatic patients, and bony boundary thinning was more prevalent among patients with associated hypothyroidism.Conclusion: The gender distribution of AR was 10% more common among males;however, the most common three comorbidites in allergic rhinitis patients were chronic sinusitis, hypothyroidism, and asthma, and most of those patients were females. Hypothyroidism can be a hidden predisposing factor for AR, while chronic sinusitis can be caused by AR due to secretion stasis or immune system activation.
文摘Objective:To observe the effectiveness and safety of one-time endodontics in the treatment of chronic apical periodontitis with sinus tract in pediatric deciduous teeth.Methods:109 cases of children with chronic apical periodontitis with sinus tract in the deciduous teeth treated in our hospital from January 2022 to December 2023 were selected and grouped by the randomized numerical table method,with 54 cases in the experimental group and 55 cases in the control group.The experimental group was treated with one-time endodontics and the control group was treated with conventional endodontics.Results:After the treatment,the total effective rate of treatment was higher in the experimental group than in the control group(P<0.05);the incidence of adverse events was lower in the experimental group than in the control group(P<0.05);the satisfaction of the children's family members was higher in the experimental group than in the control group(P<0.05);the pain duration was lower in the experimental group than in the control group(P<0.05).Conclusion:In the experimental group,children with chronic apical periodontitis with sinus tract of the deciduous teeth were given one-time endodontic treatment,and the results of its implementation were relatively good.
文摘Objective: to analyze the CT imaging anatomy of frontal sinus drainage system and its clinical application value. Methods: 50 patients with chronic sinusitis admitted from November 2019 to October 2020 were selected and included in the study. All patients underwent frontal sinus drainage system examination with CT. The patients underwent cross-sectional scanning first, and then underwent coronal and sagittal three-dimensional reconstruction through the workstation. The CT imaging anatomy characteristics of frontal sinus drainage system and its application value in chronic sinusitis were analyzed. Results: in the CT examination results, 100 sides of uncinate process were detected, including the papyraceous lamina, the air chamber of the nasal dome, the middle turbinate, the anterior skull base and the bifurcation accounted for 35.0%, 12.0%, 27.0% and 17.0% respectively, 90 cases of air chamber of the frontal recess were detected, including the terminal air chamber, the air chamber of the nasal dome and the air chamber of the anterior ethmoid, accounted for 55.6%, 22.2% and 22.2% respectively, 92 cases of air chamber of the frontal sinus were detected, including the air chamber of the frontal recess, the air chamber of the supraorbital, the air chamber of the frontal sinus accounted for 32.6% and 43.5%, 23.9% respectively. Conclusion: CT can effectively clarify the anatomical structure of the frontal sinus drainage system and effectively detect various lesions, providing detailed basis for clinical disease diagnosis and surgical treatment.
文摘Objective:To review and evaluate outcomes of patients with aspirin-exacerbated respiratory disease(AERD)following endoscopic sinus surgery and subsequent aspirin desensitization.Methods:Electronic searches of OVID MEDLINE(1948 to September 10,2019),EMBASE(1980 to September 10,2019),and PubMed were performed on September 10,2019.A systematic review of the literature was performed using the 2009 PRISMA guidelines.Studies with both preoperative and postoperative data for patients with AERD who underwent sinus surgery and aspirin desensitization were considered appropriate for inclusion.Publications were written in English and included patients aged 18 years or older.Results:Six studies met inclusion criteria for this systematic review.The primary outcome measure was change in symptom profile measured by patient-reported quality of life scores.The results demonstrate statistically significant improvement in symptoms following endoscopic sinus surgery,with sustained improvement following aspirin desensitization.Revision surgery rates were significantly lower in patients maintained on aspirin therapy.Conclusion:This review suggests that surgery followed by aspirin desensitization results in improvement in both subjective and objective outcome measures.The adjunctive use of aspirin desensitization allows for long-term stability in symptom scores.Recurrence of polyps and worsening symptoms requiring revision surgery occurs when aspirin maintenance therapy is inter-rupted.
文摘The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease(AERD),who present with the clinical triad of chronic rhinosinusitis with nasal polyposis(CRSwNP),bronchial asthma,and aspirin/nonsteroidal anti-inflammatory drug intolerance.To further define the effectiveness of sinus surgery in treating AERD patients,this review article discusses current evidence regarding outcomes associated with more extensive surgery,the benefits of frontal sinus surgery on polyposis,and the role of Draf III intervention.Numerous studies suggest that Draf III frontal sinusotomy may be an efficacious early intervention due to increased neo-ostial patency and subsequent distribution of topical therapies.Future studies that further investigate the efficacy and safety of extensive surgery in AERD patients are warranted.
基金This work was supported by National Institutes of Health(NIH)/National Heart,Lung,and Blood Institute(1 R01 HL133006-03)National Institute of Diabetes and Digestive and Kidney Diseases(5P30DK072482-04,CF Research Center Pilot Award)to B.A.W.,and John W.Kirklin Research and Education Foundation Fellowship Award and UAB Faculty Development Research Award to D.Y.C.
文摘Sinonasal respiratory epithelium is a highly regulated barrier that employs mucociliary clearance(MCC)as the airways first line of defense.The biological properties of the airway surface liquid(ASL),combined with coordinated ciliary beating,are critical components of the mucociliary apparatus.The ASL volume and viscosity is modulated,in part,by the cystic fibrosis transmembrane conductance regulator(CFTR).The CFTR is an anion transporter of chloride(Cl-)and bicarbonate(HCO 3-)that is located on the apical surface of respiratory epithelium and exocrine glandular epithelium.Improved understanding of how dysfunction or deficiency of CFTR influences the disease process in both genetically defined cystic fibrosis(CF)and acquired conditions has provided further insight into potential avenues of treatment.This review discusses the latest data regarding acquired CFTR deficiency and use of CFTR specific treatment strategies for CRS and other chronic airway diseases.
