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EVALUATION OF THE RESULTS OF ENDOSCOPIC SURGERY FOR TREATMENT OF SEPTAL DEFORMITY WITH CONTACT POINT AT CAN THO ENT HOSPITAL
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Abstract
Background: To evaluate the results of the endoscopic surgery of septoplasty with contact point is essential for ENT clinicians. Objectives: To evaluate the results of the endoscopic surgeries for treatment of septal deformity with contact point. Materials and methods: 73 patients ≥18 years old, with nasal obstruction for more than 3 months due to nasal septum deformity with contact point and underwent endoscopic surgery at Can Tho ENT Hospital from June 2020 to April 2022. Prospective study with clinical intervention. Results: Average total score of NOSE (Nasal Obstruction Symptom Evaluation) before surgery (48.36), improvement after surgery was statistically significant (p<0.001) at 1 month (8.90), 2 months (2.05) and 3 months (0.55). Symptoms of headache, nasal discharge, sneezing and epistaxis were significantly improved. Laceration of the septal mucosa on one side in surgery accounted for 37% and there was 1 case (1.4%) laceration of the septal mucosa on both sides. There were no cases of postoperative complications such as perforation of the nasal septum, nasal adhesions or loss of smell. After 3 months of surgery, good treatment results reached 80.8%. Conclusion: Endoscopic surgery for treatment of septal deformity with contact point are done mainly to improve airflow or improve sinus drainage. The surgery gives good and safe treatment results. However, care should be taken when dissecting the septal mucosa at the point of contact.
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Keywords
Nasal septal deformity, contact point, endoscopic surgery
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