Sinusitis, nasal polyps is a disease whose etiology is still unclear, its postoperative recurrence rate of 20%, those factors affect the postoperative recurrence of sinusitis?
1, environmental factors: is an important cause. Work and home environment of harmful gas inhalation, mental, emotional tension environment and excessive stress all affect the recurrence of sinusitis after surgery. It is difficult to control the air environment, so it is recommended that smokers quit smoking, reduce passive smoking, patients with allergies are prone to relapse, it is recommended to reduce allergen inhalation and desensitization treatment.
2. Systemic factors: It is the main cause. Patients with allergic diseases (allergic rhinitis, asthma, etc.), some genetic diseases and immunodeficiency diseases that affect cilia function, and scarring body. Postoperative recurrence requires treatment and control of these diseases, but there are not many ways.
3.Local factors: The above factors are difficult to control, so perhaps they can only be controlled from here. Repeated multiple surgeries are an important part of the effect, preoperative and postoperative treatment and medication is also an important part of the effect, of course the surgical technique has some influence on the effect, in fact these three aspects have some degree of mutual influence. Surgical techniques sometimes play a very important role, and sometimes there is little difference.
4, nasal polyp factors: the presence of nasal polyps will lead to sinusitis attacks, and sinusitis will aggravate the nasal polyps.
5, other factors: mental, emotional situation, family care, the correct understanding of the disease and expectations, the economic situation will affect the outcome, which may be affected by the expression of cytokines and hormone levels in the endocrine and internal microenvironment.