No4(3) 2020
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DOI 10.37219/2528-8253-2020-4-60 |
Shkorbotun Ya.V., Shkorbotun V.V.
Evaluation the quality of life of patient’s with cyst maxillary sinus after
endoscopical sinusotomy with different approaches |
Shkorbotun Volodymyr O.
1. Shupyk National Medical Academy of Postgraduate Education, Department of
Otolaryngology, Kyiv, Ukraine.
Head of the Department of Otorhinolaryngology
2. State Institution of Science "Research and Practical Center of Preventive
and Clinical Medicine" State Administrative Department, Department of
miniinvasive surgery, Kyiv, Ukraine. Chief Researcher.
Doctor of Medical Sciences, Professor
shent@ukr.net
ORCID ID: https://orcid.org/0000-0003-0769-6242
Shkorbotun Yaroslav V
State Institution of Science "Research and Practical Center of Preventive
and Clinical Medicine" State Administrative Department, Department of
miniinvasive surgery, Kyiv, Ukraine
Shupyk National Medical Academy of Postgraduate Education, Department of
Otolaryngology, Kyiv, Ukraine
Candidate of Medical Sciences, Associate Professor
lorkiev@ukr.net
Orchid ID: http://orcid.org/0000-0002-3103-7194 |
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Abstract
Topicality: The radical treatment for patients with cysts of the
paranasal sinuses is only surgery. There are different approaches used for
sinusotomy.
Objective: Comparison of the impact on the quality of life of
patients performing maxillofacial surgery with different options for
surgical approaches.
Methods and materials: 110 patients who underwent endoscopic sinus
surgery for maxillary sinus cysts removing were examined. They were divided
into 3 groups, according to the selected approach: 1st group – sublabial
approach (35 people), 2nd group – anthrostomy through the middle nasal
meatus (35 people), 3rd group – infraturbinal approach (40 people). To
evaluate the quality of life of patients, we used our validated Ukrainian
language version of the SNOT-22 questionnaire.
Results and discussion: In the early period after maxillofacial
surgery there was a significant deterioration in the quality of life of
patients, which was more pronounced in groups 1 and 2 and was respectively Ʃsublab
45.3 ± 1.3 and Ʃantrostomy 42.1 ± 1.2 a in patients of
group 3 it was significantly lower – Ʃinfr
21.4 ± 0.9 (p <0.05). The total score of ear/facial symptoms on the 3rd day
after sublabial sinusotomy was 7.3 ± 1.9 points, which is 1.7 times higher
than in the second and 6 times higher than in the 3rd group. According to
rhinological symptoms, the greatest impact on the quality of life of
patients was observed in patients for whom anthrostomy was chose nasal
approach (12.3±1.7 points), which is 1.8 times more than in maxillary
microsinusotomy and 2.3 times more than in infraturbinal approach.
Conclusions: Infraturbinal approach sinusitis compared with sublabial
and anthrostomy according to the SNOT-22 survey has a smaller impact on the
quality of life of patients. According to the results of the SNOT 22 survey
in the early postoperative period after endoscopic maxillary sinusomy with
approach through the antrostomy, there is deterioration in the quality of
life of patients mainly due to rhinological complaints, while with sublabial
approach – due to ear/facial. |
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Keywords
SNOT-22; cyst; endoscopic sinusotomy, quality of life, infraturbinal
approach. |
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