精准医学杂志 (Apr 2023)

CLINICAL ANALYSIS OF NASAL ENDOSCOPE-ASSISTED RESECTION IN 34 PATIENTS WITH MAXILLARY CYSTS

  • ZHAO Tong, WANG Lin, PU Shanshan, PANG Wenhui, ZHENG Ying, HE Haiyan, JU Jianbao

DOI
https://doi.org/10.13362/j.jpmed.202302016
Journal volume & issue
Vol. 38, no. 2
pp. 169 – 171

Abstract

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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.

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