MODERN METHODS OF DIAGNOSTICS AND TREATMENT OF CHRONIC MAXILLARY SINUSITIS

Abstract

The objective of the present study was to compare the efficacy of traditional and endoscopic surgical treatments for maxillary sinusit. Materials and methods: The present study is based on a comparison of the results of the radical maxillary sinusotomy and endoscopic endonasal approach sanation in 206 patients with sinusitis. The patients were divided into 2 comparable groups. The diagnosis was established on the basis of complaints, endoscopy of the nasal cavity and CT scan of the paranasal sinuses. We have developed a scale for assessing clinical effectiveness of surgery the criteria of which were: 1) intraoperative and postoperative complications; 2) relapse diseases. Clinical efficacy was defined as "unsatisfactory" in the event of a relapse of the disease, the presence of complications in the early postoperative period. "Satisfactory" - if available complications and with an increase in the length of stay patients in the hospital by 6-30%, "good" – in absence of complications, recurrence of the disease and reducing the length of the patient's stay in hospital. Results: Clinical efficacy in the 1nd group was higher in 62.4% - "good", in 23% - "satisfactory" and in 14.6% - "unsatisfactory" clinical efficacy. Clinical efficacy in the 2nd group was higher in 82.3% - "good", in 14,2% - "satisfactory" and in 4.5% "unsatisfactory" clinical efficacy. Conclusion: Endoscopic sinus surgery at allows to reduce complications in comparison with radical maxillary sinusotomy. The endoscopic sinus surgery technique is characterized by low trauma and the physiological principle of influencing the sinus, allows for constant visual control both during the intervention and in the postoperative period, and reduces the time of inpatient treatment compared to radical maxillary sinusectomy.