No6(2) 2019
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DOI 10.37219/2528-8253-2019-6-74 |
Bezshapochnyy SB, Loburets VV, Loburets AV, Dzhirov OR
Postsurgical rehabilitation of patients with chronic rhinosinusitis |
Bezshapochny Sergey B.
Ukrainian Medical Dental Academy
Head of Department of Otolaryngology
Doctor of Medical Sciences, Professor.
Email: bezshapochny@ukr.net
Loburets Valery V.
Ukrainian Medical Stomatological Academy
Department of Otolaryngology with Ophthalmology
PhD, Docent
Email: umsalor@gmail.com
ORCID ID: http://orcid.org/0000-0001-8538-9649
Loburets Andrey V.
Ukrainian Medical Stomatological Academy
Department of Otolaryngology with Ophthalmology
PhD, Assistant of the department
E-mail: anjeyloburets@gmail.com
ORCID ID: http://orcid.org/0000-0003-4164-0816 |
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Abstract
Topicality: Modern rhinosurgery in tht treatment of chronic
rhinosinusitis based of tht principles of maximum preservation of the
functional anatomy of the nasal cavity. This helps to improve not only the
healing process but also tht quality of life of the patient. Functional
endoscopic surgery (FESS) is tht most effective treatment lor chronic
rhinosinusitis today. This method helps to accelerate the recovery of
patients and reduce the number of postoperative complications, which in turn
reduces the need lor surgery. But apart from meticulous and careful surgical
technique, one of the most important places in the treatment of the patient
is optimal management after surgery, for maximum potentiating of recovery.
The relevance of the study is due to the need to further improve the
pharmacotherapy of the postoperative period. This article high lights
several different therapies aimed at the fast test restoration of the
physiological work of the nasal structures.
Materials and methods: In total, 50 patients were divided into three
groups as part of the study. Group 1 received an isotonic solution of 0.9%
NaCl from day one and topical glucocorticosteroids (Mometasone furoate) from
day 7. In group 2A, phytopreparation was added to classic therapy and 0.9%
NaCl was used instead of the standard saline solution, with 0.4% CO2 added.
Evaluation of the effectiveness of treatment was performed using a
visual-analog scale lor subjective symptoms and endoscopic examination using
the scale of The Modified Lund-Kennedy Endoscopic Score lor objective
symptoms.
Results: On the 7th day, statistically significant differences were
observed according to VAS data between patients of the 1st
and 2B groups in terms of nasal discharge (p<0.05, U=77.5) and impaired
olfactory function (p<0.05, U=75), in the same period a statistically
significant difference was observed between MLK indices in patients of 1st
and 2B groups (p<0.05, at U=73)
No side effects of the drugs used in the study were detected.
Conclusion: Based on the study, it can be concluded tht the use in
the postoperative period of the proposed drugs have a significant clinical
advantage, which is based of clinical studies and confirmed by the
principles of evidence-based medicine. |
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Keywords
rhinosurgery, FESS, the postoperative period, phytopreparations, saline
solutions. |
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