CLINICAL, CT SCANNER OF CHRONIC RHINOSINUSITIS WITH NASAL POLYPS AND COMPARE WITH EPOS 2020 CLASSIFICATION OF PATHOLOGICAL CHARACTERISTICS

Minh Châu Bùi 1,, Thị Thu Hằng Trần1,2
1 HMU
2 National Otorhinorarynology Hospital of Vietnam

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Abstract

Objective: Describe clinical, CT scanner of CRSwNP and compare with EPOS 2020 classification of pathological characteristics. Methods: case series report. Results: Through the study of 123 cases of CRSwNP at the Rhinology Department of the Otorhinolaryngology Hospital of Vietnam from January 2022 to December 2022, we initially drew some conclusions as follows: Eosinophil in mucosa was found in 98/123 patients,including 35/98 patients had mixed neutrophil in mucosa. For these patients, the pre-operative symptom score, endoscopic score, and CT scan score were more severe and the post-operative symptom improvement was slower than patients had predominant presence of neutrophil in mucosa. There is a correlation between eosinophil in blood and in mucosa. Conclusion: CRSwNP that do not respond to medical therapy often have a predominant presence of eosinophil in mucosa, which is correlated with eosinophil in blood, as is the case without polyp biopsy can be used eosinophil in blood to classify CRS. The eosinophil-dominant group responded to topical intranasal corticosteroid post-operative.

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References

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