ПОСЛЕОПЕРАЦИОННАЯ ДИНАМИКА ПОКАЗАТЕЛЕЙ ФУНКЦИОНАЛЬНОГО СОСТОЯНИЯ НОСА У БОЛЬНЫХ С ДЕФОРМАЦИЕЙ НОСА, СОЧЕТАННОЙ С ПАТОЛОГИЕЙ ПОЛОСТИ НОСА И ОКОЛОНОСОВЫХ ПАЗУХ

Abstract

Objective: To study dynamical changes in the functional state of the nose in patients with nasal deformity (ND) in combination with diseases of the nasal cavity (DNC) and paranasal sinuses (PNS) before and after single-step surgical treatment. Methods: The functional state of the nasal cavity was studied in 184 patients with ND in combination with DNC and PS in patients aged 16 to 45 years. The patients were divided into two groups of 92 people each. Group 1 consisted of patients with ND and nasal septum deformity (NSD) combined with DNC, and group 2 consisted of patients with ND and NSD combined with the DNC and PNS. The study included rhinoscopy, PNS CT scan, rhinomanometry, olfactometry, and analysis of the average duration of mucociliary transport (MCT). In addition, 184 septoplasties, 96 ultrasound turbinate reductions, 48 submucosal vasotomies, 17 nasal turbinate resections, 15 polypectomies/ethmoidectomies, 8 maxillotomies, and 184 rhinoplasties were carried out as a single-stage procedure. Results: It was revealed that significant impairment of the nose's respiratory, olfactory, protective, and aesthetic functions occurs with ND combined with DNC and PNS. Six months after single-step surgical interventions, the restoration of nasal breathing was observed in 94.6% and 91.3% of patients in groups 1 and 2, respectively. At the same time, in 96.7% and 92.4% of patients in groups 1 and 2, respectively, the sense of smell returned to normal. In addition, normalisation of MCT duration was noted in 92.4% and 89.1% of patients in groups 1 and 2, respectively. Although there were no statistically significant differences in the parameters between the groups, the changes in all the studied dynamic parameters over the observation period in both groups were statistically significant (p<0.01). Conclusion: The obtained results show the effectiveness of single-stage operations compared to multi-step procedures and the feasibility of their implementation in cases of ND in combination with DNC and PNS. Keywords: Paranasal sinuses, nasal deformity, nasal septum deformity, turbinate hypertrophy, one-stage operations, mucociliary transport.