[Analysis of the nasal complication after radiotherapy in patients with nasopharyngeal carcinoma by logistic regression].
OBJECTIVE
To study of the risk factors of the nasal complication after radiotherapy in patients with nasopharyngeal carcinoma(NPC).


METHODS
Observed 131 cases nasal disease in NPC patients, analyzed the factors that might cause the complication by using Logistic regression model.


RESULTS
The highest incidences of complication after radiotherapy was chronic purulent sinusitis (116/131), the chosen factors in the regression formula were T staging and radiation for anterior field of the nose. The second was nasal synechia(33/131), the chosen factors were total dose of external irradiation, intracavitary irradiation and medicamentous rhinitis. The incidences of atrophic rhinitis was the lowest (9/131), the chosen factors were chemotherapy and medicamentous rhinitis.


CONCLUSIONS
T staging of tumor and radiation for anterior field of the nose had relation with post radiotherapy sinusitis. It was easy to lead to nasal synechia when the does of external irradiation being higher or adding intracavitary irradiation or using the decongestant for long time. Chemotherapeutic drugs and decongestant may be the risk factors of atrophic rhinitis.
Department of Otorhinolaryngology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021.
Yining
Y
Chen
Guangwu
G
Huang
Zhibi
Z
Huang
Wensheng
W
Wen
Chengxi
C
Xie
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000532:radiotherapy*; D011878:Radiotherapy / Q000009:adverse effects; D012852:Sinusitis / Q000209:etiology*