NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM MŨI XOANG CÓ DỊ HÌNH VÁCH NGĂN VÀ CUỐN MŨI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ VÀ BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ NĂM 2023-2024

Abstract

Background: Chronic rhinosinusitis is a disease that is very diverse morphologies and etiologies, among which anatomical abnormalities are the most prevalent causes. Recent studies have indicated that addressing anatomical abnormalities such as septoplasty and turbinoplasty may suffice in treating sinusitis issues. Objectives: To describe the clinical and paraclinical characteristics, and evaluation of surgical outcomes in the treatment of chronic rhinosinusitis with deviated septum and turbinate abnormalities. Materials and methods: Cross sectional study on 62 patients diagnosed with chronic rhinosinusitis, indicated for septoplasty and turbinoplasty at Can Tho General Hospital and Can Tho Ear Nose Throat Hospital. Results: 62 patients undergoing surgical treatment for chronic rhinosinusitis with deviated septum and turbinate abnormalities, we found that the most common reason for hospital admission was nasal congestion, accounting for 45.2%. Type I deviated septum was the most prevalent, occurring at a rate of 40.3%. Inferior turbinate hypertrophy was the most common associated abnormality often related to deviated septum, accounting for 44.9%. During surgery, significant complications were rare, with only one case of significant bleeding reported. At the 3-month follow-up, 96.8% of patients showed good surgical outcomes, with no patients experiencing poor surgical outcomes. Conclusions: Most patients did not experience significant complications during surgery. Three months post-operation, an impressive 96.8% of patients had good surgical outcomes.