Abstract

The development of technologies in the modern practice of an otorhinolaryngologist and dentist creates the possibility of simultaneous surgical treatment of patients with chronic rhinosinusitis (CRS) and secondary adentia (SA) of the upper jaw using functional endoscopic sinus surgery (FESS) and sinus lifting methods. The aim of this study was to choose an algorithm for surgical intervention in patients with CRS and SA of the upper jaw—a simultaneous correction against a two-stage treatment. In the course of the study, the features of the course of the postoperative period in 96 patients were considered. Preoperative preparation was standard for all patients (otorhinolaryngological examination, CT scan of the paranasal sinuses, test results). To assess the impact of ENT pathology on the quality of life of patients both before and after surgery, the Sino-Nasal Outcomes Test-22 (SNOT-22) and Hospital Anxiety and Depression Scale (HADS) were used. The results of the work demonstrated the possibility of simultaneous treatment of patients with CRS and SA. The assessment performed on the SNOT-22 score showed that this approach does not have a negative impact on the quality of life of patients compared with a two-stage intervention; on the contrary, it has a lesser effect on the psychological state of the operated patients (HADS), increasing adherence to treatment.

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