NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NẠO V.A QUÁ PHÁT BẰNG DAO CẮT HÚT LIÊN TỤC QUA NỘI SOI Ở BỆNH NHÂN TRÊN 15 TUỔI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ

Abstract

  Background: The size of the adenoid increases up to the age from 6 to 10 years, then slowly atrophies and completely disappears at the age of 16 years. Adenoid hypertrophy was considered uncommon in adults. Because of various causes, the adenoid is hypertrophic in adults. Less may become cancer cell. Objectives: To describe the clinical features, subclinical characteristíc and asscess the result of adenoidectomy by microdebrider. Materials and methods: Descriptive crosssectional study and prospective design with patients (from 15 years old) who suffer from hypertrophy adenoid, were treated with microdebrider under nasal endoscopic at Can Tho Ear Nose Throat Hospital. Results: Of 102 cases, 55 were males and 47 were females. Patients aged between 15-59 years. Most of them had the grade II hypertrophy adenoid with 60.8%. Common symptoms were nasal congestion, post nasal discharge, headache, tinnitus, scratchy throat. We divide patients into 2 groups. The first group was operated adenoidectomy. The other was performed adenoidectomy and various operative types (septoplasty, turbinoplasty, ethmoidectomy, tonsillectomy, tympanoplasty, ossiculoplasty, ventilation tubes insert). Conclusion: After 3 months of surgery, most of functional symptoms improved compared to before surgery. There are 95.7% benign histopathology, 2.9% atypical reactive and 1.4% carcinoma.