Investigation Of Coblation-assisted FESS For Chronic Nasal-sinusitis And Nasal Polyps

Objective: To explore the safety and efficacy of CAFESS（Coblation-assistedFESS）for chronic sinusitis and nasal polyps comparing to traditional FESS byobserving the objective and subjective clinical data intraoperatively and postoperatively.Methods: The40cases (sides) in our department with chronic nasal-sinusitiswith or without nasal polyps were selected randomly in experiment and control groupfrom June to September in2010respectively with FESS and CAFESS and thesubjective symptoms and the local morphological changes preoperatively andpostraoperative during the6-9month follow-up.Results: The symptoms such as nasal congestion, headache and facial pain,purulent discharge, postnasal drip were relived.Intraoperative blood loss of patients inCAFESS group and FESS group were compared and t-test was done with t=7.477, P<0.05and the difference was statistically significant; CAFESS patients SNOT-20postoperative score andthe FESS group patients SNOT-20technique score t test, t=1.315, P>0.05, the difference was not statistically significant. And the Lund-Kennedypostoperative score was dealed with t-test with t=1.793, P>0.05and the difference wasnot statistically significant. The VAS pain score was done by t-test, t=32.084, p<0.05,and the difference was statistically significant.Conclusion: CAFESS for chronic nasal-sinusitis and nasal polyps is effective,newand selectable technique.