NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VIÊM MŨI XOANG MẠN TÍNH Ở NGƯỜI BỆNH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP NĂM 2025

Abstract

Introduction: Chronic rhinosinusitis is defined as inflammation of the nasal mucosa and paranasal sinuses lasting more than 12 weeks, characterized by nasal obstruction or congestion, rhinorrhea, facial pain or pressure, and hyposmia or anosmia. Understanding the clinical and paraclinical features of CRS is essential for clinicians to optimize diagnosis and treatment. Objectives: To describe the clinical and paraclinical characteristics of adult patients with chronic rhinosinusitis. Methods: A cross-sectional study was conducted on 142 adult patients treated at Viet Tiep Friendship Hospital in 2025. Results: The main subjective symptoms were rhinorrhea (94.4%), nasal obstruction (77.5%), hyposmia or anosmia (42.3%), and facial pain or headache (38.0%). Other common symptoms included nasal itching and sneezing (94.4%), persistent cough (45.8%), and tinnitus or ear fullness (22.5%). Objective findings revealed mucosal edema of the nasal cavity, nasal discharge, and mild edema of the middle meatus, middle turbinate, and inferior turbinate in most patients. The majority of patients had no anatomical deformities or nasal polyps. Conclusion: Prolonged mucosal edema and physical obstruction due to anatomical variations or nasal polyps contribute to the development of chronic rhinosinusitis. The principal clinical features include rhinorrhea, nasal obstruction, hyposmia or anosmia, facial pain or headache, nasal itching and sneezing, persistent cough, and tinnitus or ear fullness.