NGHIÊN CỨU TỔNG QUAN CÁC YẾU TỐ TIÊN LƯỢNG TRONG VIÊM MŨI XOANG MẠN TÍNH CÓ POLYP MŨI Ở NGƯỜI LỚN

Abstract

Background: Chronic rhinosinusitis with nasal polyps is a common chronic disease which is characterized by degenerative polypoid lesions in the nasal cavity and paranasal sinuses. An increasing incidence and a high risk of recurrence after surgery was recorded in this disease. Objectives: This study aims to describe the prognosis factors in recurrent chronic rhinosinusitis with nasal polyposis in adults with after surgery. Subjects and methods: A litterature review were conducted in English peer-reviewed journals from January 2013 to May 2023, searching in Hanoi Medical University library, using Pubmed database with keywords related to chronic rhinosinusitis with recurrent nasal polyps postsurgery. Results: Among 375 articles were found, 23 articles were selected. The prognostic factors were analyzed including age, gender, geography, smoke, history of pre-surgery, preoperative treatment, co-morbidities, lesions on CT, eosilnophil in blood and in polyp tissue. Conclusion: Geography, history of pre-surgery, preoperative treatment, co-morbidities including asthma, allergic rhinitis, aspirin-exacerbated respiratory disease (AERD) are the prognostic factors for recurrent chronic rhinosinusitis with nasal polyposis in adults after surgery. In addition, the proportion and number of eosilnophil in the blood, number of eosilnophil in polyp tissue of recurrent postsurgery group was higher in comparation with the non-recurrence group.