RESEARCHING CLINICAL AND PARACLINICAL CHARACTERISTICS AND EVALUATING TREATMENT OUTCOMES IN CHRONIC SINUSITIS PATIENTS WITH CONCHA BULLOSA WHO UNDERWENT FESS AT CAN THO ENT HOSPITAL AND CAN THO CENTRAL GENERAL HOSPITAL

Tóm tắt

 Background: Concha Bullosa, a frequently encountered anatomical variant within the nasal cavity, has been implicated in the obstruction of the osteomeatal complex, potentially contributing to the pathogenesis of chronic rhinosinusitis. Functional endoscopic sinus surgery (FESS) incorporating middle turbinate resection offers a potentially effective solution by improving both pneumatization and drainage of the paranasal sinuses. Objectives: To study clinical and paraclinical characteristics and to evaluate the treatment results of chronic sinusitis in patients with concha bullosa who underwent FESS at Can Tho ENT Hospital and Can Tho Central General Hospital. Materials and methods: A descriptive cross-sectional study designed to evaluate a cohort of 57 patients diagnosed with chronic sinusitis in the presence of Concha Bullosa who underwent FESS. Results: The female/male ratio was 1:1. The average age was 41.8±12.9 years. The common symptom was headache (89.5%). Out of 57 patients studied, Concha bullosa was bilateral in 19 (33.3%) patients, and unilateral in 38 (66.7%) patients. The Extensive type of concha bullosa had the highest prevalence (38.2%). There were statistically significant differences between the presence of Concha Bullosa and the presence of anterior group sinusitis on the same side (p < 0.01). There were no statistically significant differences between the presence of types of Concha Bullosa and the presence of anterior sinusitis group (p > 0.05). For headache, measured using the VAS, demonstrated a statistically significant improvement (p < 0.05) following surgery. Preoperative VAS scores averaged 7.02±2.8, decreasing to 2.11±1.6 at 1 month and 0.44±0.19 at 3 months postoperatively. Similarly, the Lund-Kennedy score also showed significant improvement (p < 0.05). Preoperative scores averaged 3.47±1.97, declining to 1.09±0.17 at 1 month and 0.44±0.19 at 3 months postoperatively. Notably, at the three-month follow-up, 84.82% of patients achieved successful treatment outcomes. Conclusion: Functional endoscopic sinus surgery combined with middle turbinate resection, which improves pneumatization and drainage, has a good outcome.