No1(2) 2019
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DOI 10.37219/2528-8253-2019-1-54 |
Pukhlik CM, Bezshapochniy SB
Management of patient after surgical interventions in nasal cavity and
paranasal sinuses
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Pukhlik Sergey M.
Odessa National Medical University, Head of Department of
Otorhinolaryngology, Doctor of Medical Sciences, Professor.
E-mail: lor@te.net.ua
Orchid: http://orcid.org/0000-0001-7196-9642
Bezshapochny Sergey Borisovich,
Ukrainian Medical Dental Academy, Head of Department of Otolaryngology,
Doctor of Medical Sciences, Professor.
Email: bezshapochny@ukr.ne |
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Abstract
Relevance: It was noted that after conducting еndonasal surgical
interventions in the nasal cavity and paranasal sinuses, prolonged
functional disorders were observed, accompanied by reactive edema, leading
to sinus congestion, crusting and respiratory failure.
Purpose: the aim of the study was to increase the effectiveness of
treatment of patients with chronic rhinosinusitis by improving the technique
of early postoperative rehabilitation.
Materials and methods: the results were obtained from a comprehensive
examination and treatment of 110 patients with chronic purulent and polypous
sinusitis, aged 21 to 60 years, who were divided into two similar groups.
Patients of the first group and second group received basic postoperative
therapy, including systemic antibiotics. In addition, patients of the first
group (main) instilled Sinuforte 1 time per day in both halves of the nose.
Sinuforte began to be administered from the second day after surgery or the
day after removal of tampons. Patients of the second group (control) washing
the nose with saline 4-5 times a day and instilled Pinosol oil in the nose.
Patients were evaluated for ten days after surgery. The subjective state of
patients (complaints) was assessed, the clinical endoscopic picture,
olfactometry were evaluated, rhinocytograms were performed.
Results: a good clinical result was obtained, comparable or greater
than the effect of treating patients without the inclusion of Sinuforte in
complex therapy. In this case, the drug is administered once a day, while
washing the nose and regular cleaning of the nasal cavity by a doctor is not
required. |
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Keywords
Chronic rhinosinusitis, functional endoscopic sinus surgery, nasocytogram,
Sinuforte. |
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