Effect of small hole nasal double approach endoscopic frontal sinus surgery on the treatment of patients with chronic frontal sinusitis

Objective To explore the effect of small hole nasal double approach endoscopic frontal sinus surgery on the treatment of patients with chronic frontal sinusitis.Methods A total of 100 patients with chronic frontal sinusitis (178 sides) were selected and divided into experimental group (n =50,93 sides) treated by small hole nasal double approach endoscopic frontal sinus surgery and control group (n =50,85 sides) treated by the opening surgery for frontal sinus.Postoperative VAS,Lund-Mackay score and frontal sinus diameter,SNOT-20 after six months after surgery were compared between two groups.Results The proportion of patients with VAS score 6 to 10 in the experimental group was 42％,which was significantly lower than 52％ in the control group (P ＜0.05).The Lund-Mackay score of the control group was significantly higher than the study group (P ＜ 0.05).There was no significant difference in frontal sinus atresia rate between two groups (P ＞ 0.05).Conclusion small hole nasal double approach endoscopic frontal sinus surgery can reduce postoperative pain and improve the quality of life of patients.