Evaluation the quality of life of patient’s with cyst maxillary sinus after endoscopical sinusotomy with different approaches

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.