ЧАСТЫЕ КЛИНИЧЕСКИЕ ПРИЗНАКИ ЗАБОЛЕВАНИЙ НОСА И ОКОЛОНОСОВЫХ ПАЗУХ У БОЛЬНЫХ ХРОНИЧЕСКОЙ ПОЧЕЧНОЙ НЕДОСТАТОЧНОСТЬЮ

Abstract

Abstract. Introduction. Adequate advanced hemodialysis techniques reduce nosebleeds in patients with chronic renal failure. The most common otorhinolaryngological manifestations were nasal mucosa dryness, lower nasal concha pallor, and, to a lesser extent, crusts on both the nasal septum and the lower nasal concha. Aim of the study was to assess the frequency of various initial manifestations in hemodialysis patients with chronic renal failure. Materials and Methods. A crossover study was conducted in 2020-2022. It included 68 patients with chronic renal failure, receiving regular hemodialysis for 6 months and longer. Results and Discussion. Nasal mucosae were normal in 45.6% of patients, dry in 44.1%, and hyperemic in 10.3%. Inferior nasal conchae were pallor in 44.1% of patients, normal in 35.3%, and hypertrophic in 13.2%. Crusts were found in inferior nasal conchae in 7.4% of patients and in nasal septum in 14.7% of patients. Frequency of nosebleeds was lower in regularly hemodialyzed patients with chronic renal failure. Conclusions. Analysis of the studies conducted shows that the frequency of nosebleeds was reduced in regularly hemodialyzed patients with chronic renal failure. Ulceration and perforation of the nasal septum are the least frequent otorhinolaryngological signs. No cases of olfactory neuropathy were reported in our study.