NGHIÊN CỨU TỔNG QUAN KẾT QUẢ PHẪU THUẬT NỘI SOI U NHÚ ĐẢO NGƯỢC MŨI XOANG

Abstract

Objectives: Characterization of studies on endoscopic surgery for the treatment of inverted nasopharyngeal papilloma and results of endoscopic surgery. Subjects and methods: Articles and studies in databases Pubmed, Google Scholar, library of Hanoi Medical University met the research criteria. Result: Found 758 documents. After analysis, 13 articles with a total of 804 patients were included in the study, of which 12 were on the group of patients with inverted nasopharyngeal papilloma, regardless of location, 1 study in the group of patients with inverted papilloma extending to the frontal sinus. Some characteristics of the studies: retrospective study design 84.6% (11), prospective study 15.4% (2) and sample size of studies under 50 people accounted for 61.5% (8). In 12 studies, the average age of participants was between 50 and 60 years old 66.8%. According to Krouse’s staging system: patients in T1 stage accounted for 15.8% (127), T2 stage accounted for 39.8% (320), T3 stage accounted for 42% (338), T4 stage accounted for 2.4% (19). Results of treatment with endoscopic surgery: the overall recurrence rate is 13.1%, this rate is very different between studies from 0 to 43.8%. 5/13 studies did not record complications due to endoscopic surgery, in the studies where complications occurred, the rate ranged from 2.1% to 7.7%, complications encountered in order gradually decreased: nosebleeds, swelling around the orbits, lacrimation, no serious complications such as cerebrospinal fluid leakage. Average recurrence time was from 7.5 months to 22 months with an average follow-up time from 19 months to 66 months, a minimum follow-up of 5 years (60 months) is recommened.