ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM MŨI XOANG MẠN TÍNH CÓ QUÁ PHÁT MỎM MÓC TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ NĂM 2018-2020

Abstract

Background: Hypertrophied uncinate process is a contributing factor causing narrowing of the hiatus semilunaris, the ethmoid infundibulum and affecting the mucociliary clearance of anterior sinuses. Objectives: Determining clinical, subclinical features of chronic rhinosinusitis with hypertrophied uncinate process and evaluating the endoscopic surgery outcomes of chronic rhinosinusitis with hypertrophied uncinate process. Materials and Methods: Cross-sectional descriptive on 65 patients diagnosed chronic rhinosinusitis with hypertrophied uncinate process. Results: Symptoms included nasal blockage (95.4%), nasal discharge (92.3%), smell disorders (9.2%), facial pain (69.2%). Nasal endoscopic signs consisted of mild oedema of nasal mucosa (61.5%), clean and thin discharge (49.2%), bilateral hypertrophied uncinate process (50.8%). Stage II of Lund–Mackay scale on CT scan was the highest percentage with 70.8%. Superior attachment of uncinate process inserted into lamina papyracea was the most common with 58.5%. No intraoperative complications happened. Postoperative adhesion was only 4.6%. Symptoms decreased significantly after 3 months. Remnants of superior uncinate process were 3.1%. After 3 months, excellent result was 84.6%. Patients were satisfied and very satisfied in 96.9% of cases. Conclusions: Symptoms and nasal endoscopic signs were improved significantly after surgery.