ENDOSCOPIC PICTURE IN POLYPOSE RHINOSINUSITIS

Abstract

The aim of the study was to study the role of endoscopy in the diagnosis of chronic polypoid rhinosinusitis. We examined 50 patients with chronic kidney disease who were hospitalized in the ENT department of the Bukhara multidisciplinary clinic from 2017 to 2019. All patients underwent clinical and laboratory research, including a medical history, rhinoendoscopy and computed tomography. At endoscopic examination, it was possible to distinguish between different forms of chronic polypoid rhinosinusitis. In 90 (60,0%) patients with chronic “eosinophilic” polypoid rhinosinusitis (chronic recurrent polypoid rhinosinusitis), “grayish” transparent polyps with mucous secretions in the nasal cavity are determined with endoscopy of the nose. These types of polyps were more often found on both sides of the nasal cavity. With nasal endoscopy in 60 (40,0%) patients with chronic “neutrophilic” polypoid rhinosinusitis (chronic purulent-polypoid rhinosinusitis), nasal polyps are defined as "fibrous-dense" polyps, usually one-sided. Purulent discharge is often detected with the presence of chronic purulent rhinosinusitis (62,7%). The study showed that endoscopic examination of the nasal cavity provides great opportunities for the diagnosis and treatment of chronic polypoid disease, helping to identify unrecognized and undetected foci of infection during previous operations, as well as to find out the cause of the failures of previous surgeries and correct them surgically and with the help of drug therapy.