NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ VIÊM XOANG TÁI PHÁT SAU PHẪU THUẬT TẠI CẦN THƠ NĂM 2019-2021

Abstract

Background: Revision surgery for patients of recurrent sinusitis has many disadvantages because the normal anatomical landmarks have changed, fibrous adhesions, easy bleeding making surgery more difficult and confusing, which leads to accidents during surgery, complications after surgery and patients did not improve symptoms after surgery. Objectives: 1. Describe functional symptoms, endoscopic - computed tomography characteristics of sinuses. 2. Evaluate the results of revision surgery in order to limit the surgical complications and the risk of recurrent sinusitis. Materials and methods: Cross sectional and descriptive study with clinical intervention in 49 patients with recurrent sinusitis after sinus surgery from 03/2019 to 04/2021. Results: The common risk factors related to recurrent sinusitis after sinus surgery: allergic rhinitis (81.6%), GERD (67.3%), no follow-up in previous surgeries (55.1%). Clinical symptoms: runny nose (100%), congestion or stuffy nose (91.8%), facial pain or pressure (87.8%), decreased or absent sense of smell (26.5%). Endoscopic characteristics: allergic mucosa (91.8%), recurrent sinonasal polyposis (63.3%), fibrous adhesions (18.4%), hypertrophic inferior turbinate (12.2%). Surgical results, good improvement according to functional symptoms is 77.6% and endoscopic characteristics is 75.5% after 3 months. Conclusion: Reducing the recurrence rate after rhinoplasty surgery, it is necessary to combine functional symptoms, endoscopic features and images on computed tomography to accurately determine the disease-causing lesions and plan for surgery.