ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT NỘI SOI MỞ XOANG BƯỚM QUA LỖ THÔNG TỰ NHIÊN ĐIỀU TRỊ VIÊM XOANG BƯỚM MẠN TÍNH

Abstract

  Background: Chronic sphenoid sinusitis is challenging to diagnose due to its vague and heterogeneous clinical manifestations. Endoscopic sphenoidotomy via the natural sphenoid ostium has demonstrated several significant advantages. Objectives: 1. To describe the clinical and paraclinical characteristics of patients with chronic sphenoid sinusitis indicated for endoscopic surgery; 2. To evaluate the outcomes of endoscopic sphenoidotomy via the natural ostium for chronic sphenoid sinusitis. Materials and methods: A total of 31 patients diagnosed with chronic sphenoid sinusitis underwent endoscopic sphenoidotomy via the natural ostium at Can Tho University of Medicine and Pharmacy Hospital and Can Tho ENT Hospital from May 2024 to January 2026. This was a prospective, uncontrolled, interventional descriptive study. Results: The 40–59 age group accounted for the highest proportion of patients, with a mean age of 44.9 ± 13.9 years; females predominated. Rhinorrhea was the most common symptom, reported in 67.7% of cases. Nasal endoscopy revealed associated abnormalities, including nasal septal deviation, edematous–degenerative turbinate changes, and nasal polyps. Computed tomography demonstrated partial opacification of the sphenoid sinus in 61.3% of patients. Postoperative assessment at 3 months showed a patent sphenoid sinus ostium in 90.3% of cases. Conclusions: Endoscopic sphenoidotomy via the natural ostium in the management of chronic sphenoid sinusitis yields high therapeutic efficacy, facilitating restoration of physiological drainage while maximally preserving the sphenoid sinus mucosa.