Otorhinolaryngology

doi: 10.25005/2074-0581-2017-19-1-63-67
ESTIMATION OF ENDOSCOPIC SYNUSOTHOMY EFFICIENCY IN CHRONIC RHINOSINUSITIS WITH NASAL POLYPS BASED ON DATA OF ENT CLINIC OF PUBLIC INSTITUTION «NATIONAL MEDICAL CENTER» OF THE REPUBLIC OF TAJIKISTAN

М.К. Ikromov, D.Sh. Davlatov, М.B. Nazirmadova, А.А. Abdukhalilov

Public Institution «National Medical Center» Ministry of Health and Social Protection of Population of the Republic of Tajikistan, Dushanbe, Tajikistan

Objective: To conduct a comparative analysis of the effectiveness of endoscopic and traditional surgeries in patients with chronic rhinosinusitis with nasal polyps.

Methods: At the age of 21 to 65 years, 56 of patients with chronic rhinosinusitis with nasal polyps were diagnosed. Patients were divided into two groups: 1st group (31 patients – the main group), in which surgical interventions were performed endoscopically and 2nd group (25 patients – control group), in which patients underwent surgery using traditional methods.

Results: The effectiveness of the method was estimated based on the relapse frequency of the patients who underwent surgery. Analysis of the long-term results showed that relapse of the disease was detected in 12.9% of the patients of the main group and 40% of the control group.

Conclusions: The method of endonasal endoscopic rhinosinusotomy in chronic rhinosinusitis with nasal polyps proved to be more effective than traditional method of treatment.

Keywords: Endoscopic sinusotomy, nasal polyps, maxillary sinusotomy, surgery.

Download file:


References
  1. Alibekov IM, Guz DG, Hudin AG, Moskalyov VA. Upravlyaemaya gipotoniya v endoskopicheskoy rinosinusokhirurgii v ambulatornykh usloviyakh [Controlled hypotension in endoscopic rhinosinusosurgery in outpatient settings]. Rossiyskaya otorinolaringologiya. 2013; 4(65):3-5.
  2. Belashigin AS. Variabelnost’ otvetnoy reaktsii slizistoy obolochki nosa v zavisimosti ot provodimoy terapii pri polipoznom rinosinusite [The variability of the nasal mucosa response depending on the therapy in polipous rhinosinusitis]. Rossiyskaya otorinolaringologiya. 2012; 6:12-5.
  3. Zaytsev VA, Shakhova EG, Pelikh EV. Epidemiologiya khronicheskogo polipoznogo rinosinusita v Volgogradskom regione [Epidimiology of chronic polipous rhinosinusitis in Volgograd region]. Rossiyskaya otorinolaringologiya. 2013; 5(66):39-43.
  4. Mashkova TA, Maltsev AB. Kliniko-laboratornaya otsenka nazal’noy obstruktsii u bol’nykh polipoznym rinosinusitom [Clinical and laboratory evaluation of nasal obstruction in patients with polipoid rhinosinusitis]. Rossiyskaya otorinolaringologiya. 2015; 6(79):43-6.
  5. Gadzhimirzaev GA, Shakhnazarov AM. O nekotorykh spornykh i nereshyonnykh voprosakh problemy polipoznogo rinosinusita [About some controversy and unresolved questions of the problem polipous rinosinusitis. Rossiyskaya otorinolaringologiya. 2014; 4(71):27-31.
  6. Volkov AG, Ryabtseva OA. Kombinirovannoe lechenie polipoznykh rinosinusitov [Combined treatment of polypous rhinosinusitis]. Rossiyskaya otorinolaringologiya. 2004;4:26-9.
  7. Dabrinin KB, Portenko GM, Vashnevskaya NA. Disbioticheskie izmeneniya sostoyaniya mikroflory kishechnika pri polipoznom rinosinusite [Dysbiotic changes in the state of the intestinal microflora in polypous rhinosinusitis]. Rossiyskaya otorinolaringologiya.2016; 5(84):26-8.
  8. Budkovaya MA, Zaharova GP. Patogeneticheskoe obosnovanie lecheniya polipoznogo rinosinusita [Pathogenetic substantiation for the treatment of polypous rhinosinusitis]. Rossiyskaya otorinolaringologiya.2016; 2(81):13-20.
  9. Shakhova EG, Bakumova OR. Ostrye zabolevaniya glotki i okolonosovykh pazukh u detey [Acute diseases of the pharynx and paranasal sinuses in children]: Uchebno-metodicheskoe posobie dlya sistemy poslediplomnogo obrazovaniya po otorinolaringologii. Volgograd, RF; 2011. 57 р.
  10. Drake-Lee AB. Nasal polip. Hospital Med. 2004;65:264-7.
  11. Jonathan RN, Kim W, Ah-See. A review of nasal polyposis. Therapeutics and Clinical Risk Management. 2008;4(2):507-12.
  12. Woodhead CJ. Neuropeptides in nasal mucosa. Clin Otolaringol. 1994;19: 277-286.
  13. Jornot L, Grouzmann E, Lacroix JS, Rochat T. BDNF end DPP-IV in polips and middle turbinates epitheliale cells. Rhinology. 2007;45:129-33.
  14. Allokhveranov DA, Yunusov AS, Ryabinin AG. Otdalyonnye rezul’taty endoskopicheskikh metodov lecheniya khronicheskogo polipoznogo rinosinusita [Long-term results of endoscopic methods of treatment of chronic polypous rhinosinusitis]. Rossiyskaya otorinolaringologiya. 2015; 3(76):158-60.
  15. Zavadskiy AV, Zavadskiy NV. Tsitologiya polipoza nosa i eyo otnoshenie k patogenezu zabolevaniya [The nasal poliposis cytology and its relation to the pathogenesis of the disease]. Vestnik ushnykh, nosovykh i gorlovykh bolezney. 2011;1:8-17.
  16. Malyuga VY, Klimov AE, Fyodorov AG, Gaboyan AC, Davydova SV, Barkhudarov AA, i dr. Neposredstvennye i otdalyonnye rezul’taty khirurgicheskogo i endoskopicheskogo lecheniya bol’nykh khronicheskim kal’kulyoznym pankreatitom [Immediate and long-term results of surgical and endoscopic treatment of patients with chronic calculous pancreatitis]. Avicenna Bulletin (Vestnik Avitsenny). 2010;4:23-8.
  17. Faiziev ZS. Videobronkhoskopicheskaya diagnostika bronkhial’nogo dereva pri oslozhnyonnom ekhinokokkoze lyogkikh [Videobronchoscopic diagnosis of the bronchial tree for complicated pulmonary echinococcosis]. Avicenna Bulletin (Vestnik Avitsenny). 2010;4:41-7.

Authors informations:

Ikromov Mahmadulo Kurbonovich, otorhinolaryngologist, attending physician of First Otolaryngology Department at National Medical Centre;

Davlatov Diloshub Sharifovich, endoscopist doctor at Otolaryngology Clinic of National Medical Centre;

Nazirmadova Mohira Badargaevna, otorhinolaryngologist at Children’s ENT Department at National Medical Centre;

Abduhalilov Abduzokir Aralovich, otorhinolaryngologist, attending physician of First Otolaryngology Department at National Medical Centre

Address for correspondence:

Ikromov Mahmadulo Kurbonovich
Otorhinolaryngologist at the Public Institution «National Medical Centre» Ministry of Health and Social Protection of Population of the Republic of Tajikistan

734026, Republic of Tajikistan, Dushanbe, Somoni Avenue, 59

Tel: (+992) 918 530898

E-mail: Ikromov.mk-71@mail.ru

Materials on the topic: