ENDOSCOPIC SINUS SURGERY FOR CHRONIC RHINOSINUSITIS WITH RECURRENT NASAL POLYPS AT CAN THO EAR NOSE THROAT HOSPITAL IN 2022-2023

Vo Bich Thuan Quach 1,, Chieu Hoa Chau 2
1 Nam Can Tho University
2 Can Tho Ear Nose Throat Hospital

Main Article Content

Abstract

Background: Relapses of nasal polyps after surgical treatment are very common and their prevention is the focus of interest of clinicians and researchers. Over the last three decades, functional endoscopic sinus surgery has become a common surgical technique otolaryngologists perform. Significant data demonstrate its efficacy in combination with appropriate medical treatments and postoperative care in managing patients. Objectives: To evaluate the results of chronic rhinosinusitis with recurrent nasal polyps at 3 months post surgery at Can Tho Ear Nose Thoart Hospital. Materials and methods: This is a prospective cross-sectional descriptive study with 50 patients from July 2022 to April 2023. Results: Of the total 50 patients, 26 (52 %) were female, 48% male, 23(46%) had asthma, 47(94%) had allergic rhinitis, mean age was 45.7±13.3 years old having undergone surgery involving polypectomy were enrolled. All rhinologic symptoms improved after surgery, in a statistical way: 82% no nasal obstruction, 82% no nasal discharge, 80% no hyposmia. 90% no polyp at 3-month follow-up endoscopy exams. The commonest surgical complication observed was synechiae between the middle turbinate and septum nasal (4%). No major complications like cerebrospinal fluid leak, retro-orbital hemorrhage, diplopia, and blindness were noted. After 3 months of surgery, the results showed good with 84%. Conclusion: It was concluded that endoscopic sinus surgery has proved to be a safe and effective treatment for chronic rhinosinusitis with recurrent polyps.

Article Details

References

1. Esen E, Selçuk A, Passali D. All Around the Nose. Springer. 2020. 367-371. Epidemiology of Nasal Polyposis. https://doi.org/10.1007/978-3-030-21217-9_42.
2. Bachert C, Han JK, Wagenmann M, Hosemann W, Lee SE et al. EUFOREA expert board meeting on uncontrolled severe chronic rhinosinusitis with nasal polyps (CRSwNP) and biologics: Definitions and management. J Allergy Clin Immunol. 2021. 147(1), 29-36, https://doi.org/10.1016/j.jaci.2020.11.013.
3. Calus L, Van Bruaene N, Bosteels C, Dejonckheere S, Van Zele T, et al. A twelve-year followup study after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis. Clin Transl Allergy. 2019. 9, 30, https://doi.org/10.1186/s13601-019-0269-4.
4. Fokkens WJ, Lund V, Bachert C, Mullol J, Bjermer L et al. EUFOREA consensus on biologics for CRSwNP with or without asthma. Allergy. 2019. 74(12), 2312-2319, https://doi.org/10.1111/all.13875.
5. Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020. 58(Suppl S29), 1-464, https://doi.org/10.4193/Rhin20.600.
6. Virkkula P, Penttilä E, Vento SI, Myller J, Koskinen A et al. Assessing Cut-off Points of Eosinophils, Nasal Polyp, and Lund-Mackay Scores to Predict Surgery in Nasal Polyposis: A Real-World Study. Allergy Rhinol (Providence). 2020. 11. 2152-6567, https://doi.org/10.1177/2152656720956596.
7. Koizumi M, Suzuki S, Matsui H, Fushimi K, Yamasoba T, et al. Trends in complications after functional endoscopic sinus surgery in Japan: A comparison with a previous study (2007-2013vs. 2013-2017). Auris Nasus Larynx. 2020. 47(5), 814-819. https://doi.org/10.1016/j.anl.2020.04.003.
8. Đinh Viết Thanh, Lê Thanh Thái. Đánh giá kết quả phẫu thuật bệnh viêm mũi xoang tái phát sau phẫu thuật nội soi chức năng mũi xoang ở người lớn. Tạp chí Y Dược học – Trường Đại học Y Dược Huế. 2017. 6(6), 107-113.
9. Baban MIA, Mirza B, Castelnuovo P. Radiological and endoscopic findings in patients undergoing revision endoscopic sinus surgery. Surg Radiol Anat. 2020. 42(9), 1003-1012, https://doi.org/10.1007/s00276-020-02427-5.
10. Riva G, Pizzo C, Carraro M, Moresco M, Pecorari G. The importance of follow-up examinations in chronic rhinosinusitis with nasal polyposis. Am J Otolaryngol. 2023. 44(1), 103672, https://doi.org/10.1016/j.amjoto.2022.103672.