The Effect Of Selective Pterygoid Canal Neurotomy Under Nasal Endoscopy On Postoperative Pain In Patients With Chronic Sinusitis

Objective: To investigate the effect of selective pterygoid canal neurotomy under nasal endoscopy on patients with chronic sinusitis and nasal polyps. Methods: Eight six patients with chronic sinusitis and nasal polyps were randomly and evenly divided into control and research groups. The control group patients underwent conventional minimally invasive endoscopic nasal surgery, and the research group patients underwent selective pterygoid canal neurotomy under nasal endoscopy. The pain degree, stress-response indicators, Bruggemann comfort scale (BCS) scores, quality of life, duration of the hospitalization, surgical wound recovery time, incidence of adverse reactions, and curative effects in the two groups were compared. Results: The patients in the research group exhibited higher levels of pain than those in the control group (P<0.05). After treatment, the diastolic and systolic blood pressure and heart rate measurements of the control group patients were significantly higher than those of the research group patients, and the pulse oxygen saturation levels of the control group patients were significantly lower than the levels of the research group patients (P<0.05). The BCS scores of the control group patients at 1, 2, and 3 h after surgery were significantly lower than the scores of the research group patients (P<0.05). The duration of hospitalization and the surgical wound recovery times of the research group patients were longer than those of the control group patients (P<0.05). The total effective rate of the research group was significantly higher than the rate of the control group (P<0.05). Conclusion: Selective pterygoid canal neurotomy under nasal endoscopy is a safe and effective method for the treatment of chronic sinusitis with nasal polyps, with clear pain relief effects.