Current surgical treatment for chronic rhinosinusitis and nasal polyps is functional endoscopic sinus surgery (FESS). Coblation-assisted Functional endoscopic sinus surgery (CAFESS) will probably replace of FESS with more effective result. Our aim was to explore the safety and efficacy of CAFESS for the patients with chronic rhinosinusitis and nasal polyps comparing to traditional FESS firstly by observing clinical data.
The 40-cases in our department with chronic rhinosinusitis with or without nasal polyps were selected randomly from June to September in 2010, and FESS and CAFESS were operated respectively in the experiment group and control group. The patient's subjective symptoms, objective efficacy and the local morphological changes were observed preoperatively and postoperatively for 6-9 months. Statistical analysis was performed using SPSS software.
The symptoms such as nasal stuff, headache and facial pain, pus snot, postnasal drip were relived in both groups. However, blood loss of intraoperative patients in CAFESS group and FESS group were statistically different (P < 0.05), SNOT-20 score and Lund-Kennedy score of postoperative patient in both groups were not statistically different (P > 0.05). The VAS pain score of postoperative patients in CAFESS group and FESS group was statistically different (P < 0.05).
CAFESS is effectively a new surgical technique following functional endoscopic sinus surgery (FESS) for the treatment of chronic rhinosinusitis and nasal polyps, which has a better applied prospect in clinical medicine because of postoperative clinical efficacy superior to FESS.