NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BỆNH VIÊM XOANG BƯỚM MẠN TÍNH BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ NĂM 2019-2021

Abstract

Background: The sphenoid sinus is deeply seated in the skull and is the most inaccessible paranasal sinus. Chronic sphenoiditis is difficult to diagnose and treat because initial symptoms are vague and difficult to recognize. Objectives: To describe the clinical and subclinical features of chronic sphenoiditis and evaluate treatment results of chronic sphenoiditis by using functional endoscopic sinus surgery. Materials and methods: Cross-sectional descriptive and prospective study on patients were diagnosed with chronic sphenoiditis and were treated with endoscopic sinus surgery at Can Tho Ear Nose Throat Hospital. Visual Analogue Scale (VAS), nasal endoscopy was used to assess postoperative outcomes after 1 week, 1 month, and 3 months. Results: 82 sphenoid sinuses of 59 patients had been operated by endoscopic sinus surgery. Patients may present with nonspecific symptoms such as headache, nasal obstruction, or nasal discharge. Endoscopic examination may reveal various signs of chronic sphenoiditis such as edema (30.5%), polyp (8.5%), mucopurulent discharge (25.4%) in the sphenoethmoidal recess. On computed tomography: 52.5% had complete opacity, 37.3% sclerosis of the sphenoid sinus bony wall was observed, 15.3% microcalcification was detected in the sphenoid sinuses. After 3 months, the excellent result was 83.1%, the average result was 15.2%, the poor result was 1.7%. Conclusion: Endoscopic sphenoidotomy is a safe and effective approach in the management of chronic sphenoiditis, with a high success rate, symptoms, and nasal endoscopic signs were improved significantly after surgery.