Differences in the Nasal Respiratory Function after the Treatment of Maxillary Cyst

Li Ruiyu, Li Yve, Man Xueyu, L. Meng, Hou Jinjie, Guo Yunling
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Abstract

Objective:To observe the nasal resistance after medical combination treatments of maxillary cyst. Methods: 12 patients with maxillary cyst were selected, all cases were confirmed by sinus CT or MRI examination, disinfect both cheek's skin and oral vestibular mucosa. Operation should be taken under topical anesthesia or surface anesthesia, check the cases' nasal passages with transanal endoscopic microsurgery, withdraw the cyst fluid with a injector form the top flank of the nose. Then inject the drug of maxillary cyst(which mainly contains iodine and hexadecadro solution)with a proportion of 2:1(i.e., take out 2 ml cyst fluid, inject of 1 ml drugs, and so on). Cyst if can not be normally punctured can undertake the surgery with the assistance of image recorder. We should check the patients' nasal airway resistance (NAR), nasal volumes(NV), and minimalcross. Sectional area(MCA) using Eccovision Acoustic Rhinometer (HoodLabs, USA) and Anterior Rhinometer both before and after the treatments. Then deal the data with a computer. Results: 12 patients with maxillary sinus cyst came back to the hospital for a check of sinus CT check after treatment, compared with the data before the treatment, there are visible differences in general R(cmH20/LMi),general NV(cc) and MCA(cm2). (p
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上颌囊肿治疗后鼻呼吸功能的差异
目的:观察药物联合治疗上颌囊肿后鼻腔阻力的变化。方法:选取12例上颌囊肿患者,所有病例均经鼻窦CT或MRI检查证实,对双颊皮肤及口腔前庭黏膜进行消毒。手术应在表面麻醉或表面麻醉下进行,经鼻内镜显微手术检查患者的鼻道,用注射器从鼻上侧翼抽出囊肿液。然后按2:1的比例注射上颌囊肿药物(主要含有碘和十六元溶液)。(取出囊肿液2ml,注射药物1ml等)。囊肿如不能正常穿刺,可借助影像记录仪进行手术。我们应该检查患者的鼻气道阻力(NAR)、鼻容积(NV)和最小交叉。治疗前后分别使用Eccovision声学鼻计(HoodLabs, USA)和前鼻计测量截面积(MCA)。然后用计算机处理数据。结果:12例上颌窦囊肿患者治疗后回院复查鼻窦CT检查,与治疗前数据比较,一般R(cmH20/LMi)、一般NV(cc)、MCA(cm2)均有明显差异。(p
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