YẾU TỐ NGUY CƠ VÀ VI SINH HỌC U NHẦY CÁC XOANG CẠNH MŨI TẠI BỆNH VIỆN CHỢ RẪY TỪ 2018 ĐẾN 2023

Abstract

Objective: To describe the characteristics related to risk factors and the bacterial culture results of mucoceles in the paranasal sinuses. Methods: A descriptive study was conducted on 93 adult patients diagnosed and treated for paranasal sinus mucoceles at Cho Ray Hospital over a period of five years (from January 2018 to July 2023). Results: A history of sinonasal surgery was the most common associated factor, accounting for 50.54%, particularly in patients with frontal and frontoethmoidal mucoceles. Additionally, 32.26% of patients had no prior medical history related to paranasal sinus mucoceles. Bacterial culture of mucoceles was positive in 16.12% of cases, predominantly showing aerobic bacteria such as Staphylococcus aureus and Corynebacterium pseudodiphtheriticum, with no cases of anaerobic bacterial growth recorded. Conclusion: Paranasal sinus mucoceles are primarily associated with a history of sinonasal surgery, with a prolonged and highly variable time interval between surgery and diagnosis. Bacterial culture results indicate a low infection rate, predominantly involving aerobic bacteria.