KẾT QUẢ PHẪU THUẬT NỘI SOI CHỈNH HÌNH CUỐN MŨI DƯỚI BẢO TỒN NIÊM MẠC Ở NGƯỜI BỆNH VIÊM MŨI MẠN TÍNH QUÁ PHÁT

Abstract

Objective: To describe clinical characteristics and evaluate outcomes of endoscopic mucosa-preserving inferior turbinoplasty in patients with chronic hypertrophic rhinitis.

Subjects and methods: A descriptive case series included 51 patients undergoing surgery at the Department of Otorhinolaryngology, Hospital 19-8, from October 2025 to July 2026. Patients were assessed preoperatively, at discharge, and 4, 8, and 12 weeks after surgery using the Nasal Obstruction Symptom Evaluation (NOSE) scale, visual analogue scale (VAS), Glatzel mirror, and nasal endoscopy.

Results: Mean age was 33.01 ± 12.07 years and 70.6% were men. All patients had severe or extreme obstruction according to the preoperative NOSE score (81.37 ± 9.43). Grade III inferior turbinate hypertrophy accounted for 72.5%, and 82.4% underwent bilateral surgery. At week 12, mean NOSE score decreased to 3.14 ± 3.99; VAS decreased from 6.63 ± 0.97 at discharge to 0.43 ± 0.75; and the Glatzel index increased from 3.25 ± 0.73 cm preoperatively to 8.87 ± 0.62 cm (p < 0.001 across follow-up intervals). Good mucosal healing, a reduced turbinate with a patent nasal passage, and absence of adhesions were observed in 98.0%, 98.0%, and 98.0%, respectively. Good overall outcomes were achieved in 92.2%. Postoperative bleeding, marked edema, and infection occurred in 9.8%, 11.8%, and 2.0%, respectively.

Conclusion: Endoscopic mucosa-preserving inferior turbinoplasty markedly improved symptoms, nasal airflow, and endoscopic findings after 12 weeks, with a high rate of good outcomes.