Abstract
The article describes the incidence of nasal and paranasal sinus in the Khanty-Mansi Autonomous District,outlines proposals for optimizing treatment to reduce the incidence and expectation of patients requiring routine surgical treatment. Introduced hospital replacing minimally invasive technologies in outpatient settings (endoscopic using of the shaver system, radiosurgical methods), simultaneous operations were introduced. Use of a substitution therapy hospital allowed to reduce waiting times for a planned operation with nasal and paranasal sinusitis for 6 months (from 8 months to 2 weeks), due to an increase in the number of operations 5 times, given the climatic conditions of the North of Western Siberia
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