EVALUATING THE RESULTS OF TREATING THE CHRONIC FRONTAL SINUSITIS BY USING ENDOSCOPIC SINUS SURGERY AT CAN THO EAR NOSE THROAT HOSPITAL AND CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Abstract
Background: Although the advanced technique and equipment have facilitated this progression, the surgery of the frontal sinus remains the most difficult to otolaryngologists. Objective: To evaluate the effect of functional endoscopic sinus surgery to treat chronic frontal sinusitis. Material and methods: Cross-sectional descriptive and prospective with patients (from 18 years old) who suffer from chronic frontal sinusitis, were treated with endoscopic sinus surgery at Can Tho Ear Nose Throat Hospital and Can Tho University of Medicine and Pharmacy Hospital. Sino – Nasal Outcome Test-22, nasal endoscopy was used to assess postoperative outcomes after 1 week, 1 month and 3 months. Results: 91 frontal sinuses of 54 patients had been operated by endoscopic sinus surgery, mean age was 41.02±12.52. The SNOT-22 scores significantly improved from 38.72±4.397 to 9.67±7.401 after 3 months postoperatively (p<0.001). There was no complications during operation. Postoperatively, 71 frontal recesses (78.02%) were patent, 15.39% were partially narrow and 6.59% were obstructed with scar. Conclusion: The endoscopic frontal surgery is done mainly with fronto-ethmoidectomy procedures to improve airflow and frontal sinus drainage with SNOT-22 scores and nasal endoscopy.
Keywords
endoscopic frontal sinus surgery, chronic frontal sinusitis, SNOT – 22 (Sino – Nasal Outcome Test-22).
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