No2(1) 2018
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DOI 10.37219/2528-8253-2018-2-32 |
Rasulov AB, Arifov SS
Comparative analysis of the quality of life of patients with some methods of
surgical treatment of vasomotor rhinitis |
Rasulov Alexey B.
Tashkent institute of postgraduate medical education, Uzbekistan, Tashkent
E-mail: rasulov.alexey@gmail.com
Arifov Saifutdin S.
Tashkent institute of postgraduate medical education, Uzbekistan, Tashkent
E-mail: sarifov@mail.ru |
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Abstract
Quality of life (abbr. – QOL) is a category with which it characterizes the
essential circumstances of the life of the population, determining the
degree of dignity and freedom of the personality of each person and a
subjective indicator when evaluating the results of treatment of chronic
diseases. To determine the quality of life of patients with cavity problems
and SNPs, such as rhinitis and sinusitis, special questionnaires have been
created, translated into Russian and adapted.
The purpose of this study is to examine in a comparative aspect the
indicators of the quality of life of patients with vasomotor rhinitis with
various treatment methods.
Materials and Methods: The study was conducted in the clinic of the
Department of Otorhinolaryngology of the Tashkent institute of postgraduate
medical education on 43 patients with vasomotor rhinitis in age from 20 to
46 years, average age 28±1.3 years. All patients with BP included in our
study, after collecting complaints and anamnesis, underwent an endoscopic
examination of the nasal cavity and nasopharynx, a computerized tomogram of
the nose and paranasal sinuses, standard laboratory tests and microscopy of
a smear from the nasal cavity on eosinophils. Evaluation of QOL was
performed according to a special questionnaire Mini Rhinoconjunctivitis
Quality of Life Questionnaire (MiniRQLQ).
Results: Studies have shown the highest efficiency of laser
coagulation with vasomotor rhinitis. After laser surgery, a rapid
improvement in QOL was observed, and there was no adverse effect on the
mucous membrane of the nasal cavity. Given the well-tolerated laser
coagulation, the lack of the need for observation and care of the nasal
cavity in the postoperative period, the possibility of outpatient treatment,
allows us to recommend this type of exposure as the method of choice in the
surgical treatment of patients with vasomotor rhinitis. However, the need
for special equipment and the availability of trained personnel who have
access to work with laser systems somewhat limits the widespread use of this
method. The simplicity of submucosal vasotomy, the availability of tools for
carrying out, the rather rapid restoration of QOL, puts it on a par with the
laser effect on efficiency. The need to use nasal tampons after surgery,
hospital stay and patient monitoring in the early postoperative period
reduces the patients' QL and makes this operation strictly inpatient. In our
study, electrocautery demonstrated the lowest rate of improvement in QOL
than during laser irradiation and submucous vasotomy. The most slow and
incomplete restoration of QOL in this method of treatment emphasizes the
disadvantage of this method from the point of view of the patient's QOL.
Conclusion: Evaluation of the long-term results of surgical treatment
of QL and clinical manifestations of BP makes it possible to recommend laser
coagulation as the most optimal method providing a long-lasting effect in
treating patients with BP. An alternative is to take a submucous vasotomy of
the inferior nasal concha. |
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Keywords
vasomotor rhinitis, quality of life, surgical treatment methods. |
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