Clinical primary study on nasal septum surgery combined with multi-sinus surgery

Objective To evaluate the safety and efficacy of nasal septum surgery combined with multi-sinus surgery. Methods Seventy-two cases with bilateral chronic sinusitis, ethmoiditis, nasal polyp (23 cases), septal deviation, and hypertrophic inferior turbinate(in 11 cases) received septal submucous resection or septoplasty, Caldwell-Luc procedure, ethmoidectomy, polypectomy, and partial inferior turbinate resection simultaneously under general anesthesia. The bleeding in operation, pain after surgery, facial swelling, pulse, temperature, oxygen saturation and complications in perioperative period,and nasal ventilation, inflammatory secretion, recurrence of nasal polyp and parasinusitis 1 year later, were analyzed and compared with 3 control groups including single Caldwell-Luc procedure, polypectomy, ethmoidectomy, septal submucous resection or septoplasty. Results There was no significant difference in these indexes except bleeding in the combined-surgery group compared with other 3 control groups. Curative effect in the combined-surgery group was improved significantly. Conclusion The septal surgery combined with multi-sinus surgery under general anesthesia, an effective and safety procedure, can decrease the recurrence rate of nasal polyp and parasinusitis