Clinical efficacy and postoperative complications of partial submucosal turbinate bone resection under nasal endoscope combined with fractured-bone removal in treating chronic hypertrophic rhinitis
Gao Jinfeng
Mu Yanli
Wang Zhenhua
Abstract：Objective:To explore the clinical efficacy of combination of partial submucosal turbinate bone resection under nasal endoscope and fractured-bone removal in the treatment of chronic hypertrophic rhinitis and its influence on postoperative complications.Methods:One hundred and six patients with chronic hypertrophic rhinitis in Nanyang Central Hospital were selected as the research subjects.According to the random number table method,the patients were divided into observation group(53 cases)and control group(53 cases).The patients in the observation group underwent nasal endoscopic partial submucosal turbinate bone resection combined with fractured-bone removal,while the patients in the control group received plasma radiofrequency ablation combined with fractured-bone removal.The clinical efficacy,postoperative complications,nasal cavity volume(NCV),nasal airway resistance(NAR)and nasal mucosal status before surgery and 6 months after surgery were compared between the two groups.Results:There were no obvious differences in clinical effective rate and total incidence rate of complications between the two groups(P＞0.05).Six months after surgery,the nasal minimal cross-sectional area(NMCA)and NCV were significantly increased in the observation group and the control group(P＜0.05),while NAR was significantly decreased(P＜0.05),and the ratio of ciliated cells to goblet cells and mucociliary transport rate(MTR)were significantly enhanced(P＜0.05),and the changes were more obvious in the observation group(P＜0.05).Conclusions:Partial submucosal turbinate bone resection under nasal endoscope combined with fractured-bone removal has a significant therapeutic effect on chronic hypertrophic rhinitis,which has significant improvements on NCV and NAR and small damage to nasal mucosa.
Keywords：Chronic hypertrophic rhinitisBone resectionNasal cavity volumeVentilation resistanceNasal mucosaPlasma radiofrequency ablation
Publication Date：2025-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 120-123 )