Đánh giá kết quả phẫu thuật nội soi mũi xoang không sử dụng phương tiện cầm máu tại Bệnh viện Quân y 103

Abstract

Objective: To evaluate of the results of functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS) without using nasal packing materials. Subject and method: The research group had 30 patients, 34 patients with chronic rhinosinusitis control group received surgery from October 2021 to June 2022 at 103 Military Hospital. A case-by-case descriptive prospective study with a control group. Result: The most common age group was 40-59 years old (48.6%), male:female = 3.61:1, the course of the disease was mainly 1-3 years (51.5%), The most common symptom was rhinorrhea accounted for 93.3% in the study group, 88.2% in the control group, mainly unilateral nasal polyps: 60% in the study group, 58.8% in the control group, grade polyps II accounts for the majority, the nasal mucosa in both groups was mainly edematous; in which the study group accounted for 70%, the control group was 74.2%. On computed tomography (CT) film, the image of the entire maxillary sinus and ethmoid sinus accounted for 83.3% in the study group and 67.6% in the control group. After surgery, most patients did not bleed, accounting for over 90% in both groups, the evaluation criteria for patients according to the VAS (Visual analogue scale) score after surgery within 48 hours in the study group were low than the control group was statistically significant with p<0.001. Conclusion: Signs through endoscopy after 1 month showed up to 96.7% of normal images, enlarged sinus openings, non-edematous mucosa, no pus discharge, no scabs or sticky scars.