NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ VIÊM XOANG MẠN TÍNH POLYP KHE GIỮA BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ NĂM 2021-2022

Abstract

Background: Chronic rhinosinusitis with middle nasal septum polyp accounts for 4% of the population, and causes patients to decrease 36% of their efficiency and 38% of their labor productivity during the disease. Therefore, the effectiveness of treatment is worth concerning in these patients. Objectives: To describe the clinical, laboratory characteristics and the result of treatment in patients who suffer from chronic sinusitis with middle nasal septum polyp by endoscopic surgery at Can Tho Otolaryngology Hospital. Materials and methods: Report 63 cases have chronic sinusitis with middle nasal septum polyp examinations and treatments from March 2021 to March 2022 at Can Tho Otolaryngology Hospital. Results: In terms of clinical characteristics, nasal congestion (82.1%) was the most uncomfortable symptom that caused patients to be hospitalized. Besides, other characteristics were also recorded in patients including runny nose (95.2%); decreased or lost sense of smell (15.9%) and headache (93.7%). Regarding subclinical characteristics, large of patient have polyp in grade II (49.2%), grade III (39.7%), the rate of classification of sinusitis images on endoscopic was: grade I 9.5% ; grade II 47.6%; grade III 39.7% and grade IV 3.2%. For treatment, almost two methods were applied including opening the ethmoid and removing middle slit polyps (61.9%) and opening the middle slit, removing the ethmoid, frontal recess, sphenoid sinus and cutting middle slit polyps (30.2%), the average treatment time of 3 days or more gave a good 84.1% result after one month of treatment according to the EPOS 2020 standard. Conclusions: All patients have chronic sinusitis with middle nasal septum polyp had common symptoms including nasal congestion, runny nose and headache. The image of sinusitis before treatment was mostly in grades II and III. With the treatment method, 84.1% of patients had good results.