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Issue: No. 80 (2024)
Section: Article
DOI: 10.58490/ctump.2024i80.2928
Date Published: 25/09/2024
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Do, M. L., & Lam, C. T. (2024). RESEARCHING CLINICAL, SUBCLINICAL FEATURES AND EVALUATING THE RESULTS IN CHRONIC SINUSITIS WITH ANATOMICAL VARIATIONS OF THE MIDDLE TURBINATE PATIENTS UNDERWENT FESS AT CAN THO ENT HOSPITAL AND CAN THO CENTRAL GENERAL HOSPITAL IN 2022-2024. Cantho Journal of Medicine and Pharmacy, 80, 126-132. https://doi.org/10.58490/ctump.2024i80.2928

RESEARCHING CLINICAL, SUBCLINICAL FEATURES AND EVALUATING THE RESULTS IN CHRONIC SINUSITIS WITH ANATOMICAL VARIATIONS OF THE MIDDLE TURBINATE PATIENTS UNDERWENT FESS AT CAN THO ENT HOSPITAL AND CAN THO CENTRAL GENERAL HOSPITAL IN 2022-2024

My Linh Do1, , Chanh Thi Lam2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Anatomical variations of the middle turbinate include pneumatized, paradoxical curvature, bifurcate, secondary. Some anatomical variants, may lead to obstruction of the osteomeatal complex may be associated with pathogenesis of chronic sinusitis. Functional endoscopic sinus surgery combined with middle turbinate resection may improve the pneumatization and drainage, which is an effective solution. Objectives: To study clinical, subclinical characteristics and evaluate treatment results of chronic sinusitis with anatomical variations of the middle turbinate patients underwent Functional endoscopic sinus surgery at Can Tho ENT hospital and Can Tho Central General hospital. Materials and methods: A descriptive cross-sectional study was carried out on 63 chronic sinusitis with anatomical variations of the middle turbinate patients who underwent Functional endoscopic sinus surgery. Results: The male/female ratio was 1.03/1. The average age was 41.13±13 years. Nasal congestion and headache were common symptoms. Concha bullosa was a prevalent anatomical variants of the middle turbinate (88.8%). Almost clinical symptoms better VAS after surgery in comparison with preoperative (p <0.001).  For Lund-Kennedy score, the preoperative was 4.06±1.9, 1 month postoperative was 1.16±1.2 and 3 months postoperative was 0.41±1.41 (p <0.05). After 3 months of surgery, good treatment results reached 84.1%. Conclusion: FESS combined with middle turbinate resection, which better the pneumatization and drainage, has a good result outcome.

Keywords

Anatomical variations of the middle turbinate, Concha Bullosa of middle turbinate, paradoxical curvature turbinate, chronic sinusitis

Article Details

References

1. Santosh Kumar Swain. Middle turbinate concha bullosa and its relationship with chronic sinusitis: a review. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2021. 7(6), 1062-1067, doi: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20212136.
2. Tiwari G. Sharma S. Paradoxical Curvature of Middle Turbinate: A Computed Tomographic Study. International Journal of Contemporary Medical Research. 2018. 5(9), 110-113, doi:
http://dx.doi.org/10.21276/ijcmr.2018.5.9.22.
3. Phạm Kiên Hữu và cs. Hướng dẫn Châu Âu về Bệnh lý Viêm mũi xoang theo Y học chứng cứ. Nhà xuất bản Y học. 2021. 32.
4. Nguyễn Thanh Phú, Đặng Thanh, Phan Thanh Dưng. Nghiên cứu sự liên quan giữa dị hình khe giữa với viêm xoang mạn tính có chỉ định phẫu thuật. Kỉ yếu các đề tài khoa học Hội nghị TMH toàn quốc năm 2017. 2017. 60-66.
5. Gisma A.M., Kamal E.B., Helen S.M.G. and Suban M.G. Anatomical variations of the middle Turbinate among adult Sudanese Population- A Computed Tomographic Study. Bangladesh Journal of Medical Science. 2021. 20(01), 62-57, doi:10.3329/bjms.v20i1.50347.
6. Salah U.A., Nazrul I.K., Zakir H., Khairul I.M., Anowe P.B., Kazi S. U.A. Study of Prevalence of Concha Bullosa, Nasal Septal Deviation and Sinusitis based on CT Findings. Bangladesh Journal of Medical Science. 2020. 26(1), 18-23, doi: https://doi.org/10.3329/bjo.v26i1.47948.
7. Phạm Mạnh Công. Nghiên cứu hình thái lâm sàng của dị hình cuốn mũi giữa trong bệnh lý mũi xoang qua nội soi và chụp cắt lớp vi tính. Đại học Y Hà Nội. 2008. 32-52.
8. Lê Xuân Ngọc. Đánh giá kết quả phẫu thuật chỉnh hình xoang hơi cuốn giữa theo phương pháp bảo tồn niêm mạc. Đại học Y Hà Nội. 2017. 34-54.
9. Aparna C., Rakesh M., Kapil M. Diagnostic Evaluation of Chronic Nasal Obstruction Based on Nasal Endoscopy and CT Scan Paranasal Sinus. Indian J Otolaryngol Head Neck Surg. 2019. 71 (3), 1948-1952, doi: 10.1007/s12070-018-1376-6.
10. Raja K., Venkataramanan R., Santhosh P. Anatomical Variations of the Middle Turbinate Concha Bullosa and its Relationship with Chronic Sinusitis: A Prospective Radiologic Study. 2018. 22, 297–302, doi: https://doi.org/10.1055/s-0038-1625978.
11. Hà Thanh Quến. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị viêm mũi xoang mạn có xoang hơi cuốn giữa bằng phẫu thuật nội soi tại Bệnh viện Tai Mũi Họng Cần Thơ. Đại học Y Dược Cần Thơ. 2018. 32-54.