NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ LỆCH VÁCH NGĂN CÓ QUÁ PHÁT CUỐN MŨI DƯỚI BÙ TRỪ TẠI CẦN THƠ

Abstract

Background: Chronic nasal obstruction caused by nasal septal deviation associated with inferior turbinate hypertrophy is a prevalent condition in otorhinolaryngology, leading to significant impairment of nasal airflow, sleep disturbance, and reduced health-related quality of life. Surgical intervention is widely regarded as an effective therapeutic approach. Objective: To describe the clinical and paraclinical characteristics and to evaluate the surgical outcomes of septoplasty combined with inferior turbinate surgery in Can Tho. Materials and methods: A descriptive prospective study was conducted on 46 patients diagnosed with nasal septal deviation associated with inferior turbinate hypertrophy who were indicated for surgical intervention in Can Tho University of Medicine and Pharmacy Hospital from from April 2024 to October 2025. Results: The mean age of patients was 35.2 ± 13.8 years, with the majority of patients under 40 years of age; male predominance was observed. Nasal obstruction was present in all patients, frequently accompanied by rhinorrhea and sneezing. Bilateral nasal obstruction was more common than unilateral obstruction. The mean preoperative Nasal Obstruction Symptom Evaluation (NOSE) score was 76.8 ± 13.3, indicating severe nasal obstruction. Paraclinical assessment demonstrated a relatively symmetrical distribution of septal deviation between the right and left nasal cavities, with heterogeneous morphological patterns. Inferior turbinate hypertrophy was more pronounced on the ipsilateral side of the septal deviation. Postoperatively, a marked improvement in nasal airway patency was observed, with the mean NOSE score decreasing to 10.4 ± 5.7 at 3 months. Overall surgical outcomes were favorable, with 87% of patients achieving good results and no poor outcomes observed. Conclusion: Septoplasty combined with inferior turbinoplasty is a safe and effective surgical modality for the management of chronic nasal obstruction due to structural abnormalities, resulting in significant symptomatic relief and improvement in patients’ quality of life.