Transnasal Endoscopic Plasma Assisted Technique In The Treatment Of Sphenoid Sinus And Surrounding Diseases

Objective:To investigate the effects of sphenoid sinus open surgery and traditional single cold instrument sphenoid sinus opening surgery on the sphenoid sinus and surrounding diseases during and after surgery,open the sphenoid sinus inlet surgery,the amount of bleeding and operation time,postoperative Cavity wound mucous membrane recovery.To study the advantages and disadvantages of plasma applied to the sphenoid sinus opening and the postoperative mucosal recovery to find a clinical treatment.Method:A total of 60 patients with clinical data of the sphenoid sinus and its surrounding diseases admitted to the Department of Otolaryngology and Head and Neck Surgery of the People's Hospital of Hunan Province from July 2015 to December 2017 were randomly divided into 2 groups for clinical analysis;30 patients in the experimental group were treated Endoscopic sinus surgery,plasma assisted minimally invasive method to open the sphenoid sinus ostium and resection of surrounding mucosal tissue;30 patients in the control group underwent open sphenoid sinus ostium under a single cold instrument,and the surgery was performed by the deputy director of our Department of Nose Group and above physicians.,The intraoperative sphenoid sinus entrance through the endoscope during the observation and statistics of the two groups of patients during the opening process of bleeding and operation time;7 days,0.5 months,1 month,1.5 months,2 months until the surgical mucosa The epithelialization was completed,and the postoperative resection was performed after nasal endoscopy to observe the recovery of the sphenoid sinus ostium and surrounding mucosa.Results:Compared with the control group,the amount of blood loss and operation time during open sphenoidal sinus surgery were statistically different(P<0.05).Plasma-assisted sphenoid sinus ostium underwent less bleeding during the operation,and the operation time was shorter;postoperative mucosal epithelium.Time,t-test,the difference was statistically significant(P<0.05),plasma-assisted mucosal epithelialization time was slightly longer than the control group;on the 7th day postoperative endoscopy,the modified Lund-Kennedy sphenoid sinus mucosal assessment form The difference between the two groups was not statistically significant(P>0.05),and there was a significant difference in the Lund-Kennedy sphenoidal mucosa evaluation scores after 0.5 months,1 month,1.5 months,and 2 months of improvement(P<0.05),plasma-assisted sphenoid sinus opening surgery after surgery cavity cavity and secretion accumulation more than the control group.Except for one case of chronic sphenoid sinusitis in the experimental group with sphenoid sinus atresia 2 months after operation,other patients did not have headaches,dizziness,nasal congestion,runny nose and other related discomforts during the review.This patient underwent nasal endoscopy in the outpatient department.After the manual suction device treatment,the patient recovered well after surgery.Conclusion:Low-temperature plasma assisted technology has advantages of less intraoperative blood loss,less damage,clear operative field,and shortened open sphenoid ostium time in the treatment of sphenoid sinus and surrounding diseases.It is a minimally invasive and effective treatment of sphenoid sinus and surrounding diseases.Mucosal epithelialization time was longer than traditional surgery.Postoperatively,surgical cavity cleaning time was prolonged compared with traditional surgical methods.Because of thicker wounds after surgery,shedding was slower and the number of times of endoscopic surgery was more frequent than that of traditional surgical methods.