ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CHỈNH HÌNH VÁCH NGĂN KẾT HỢP ĐỐT CUỐN MŨI DƯỚI BẰNG SÓNG CAO TẦN TRONG ĐIỀU TRỊ NGHẸT MŨI

Abstract

Objective: To evaluate the results of endoscopic inferior turbinate reduction using radiofrequency and septoplasty in the treatment of nasal obstruction in patients with inferior turbinate hypertrophy and deviated nasal septum. Subjects and Methods: A prospective descriptive study conducted on patients diagnosed with inferior turbinate hypertrophy and deviated nasal septum who were indicated for endoscopic inferior turbinate reduction with radiofrequency and septoplasty at Ho Chi Minh City Ear-Nose-Throat Hospital, from December 2024 to June 2025. Results: Among 40 patients, females accounted for 22.5%, and males for 77.5%; the mean age was 30.4 ± 10.8 years. The most common triggering factor was exposure to cold. The total NOSE (Nasal Obstruction Symptom Evaluation) score was 62.3 before surgery, 29.2 at 1 week after surgery, and 11.1 at 3 weeks after surgery. The change was statistically significant with p < 0.001. Post-operative complications included bleeding in 7.5% (3/40 cases), septal hematoma in 2.5% (1/40 cases), and hyposmia in 5% (2/40 cases). Conclusion: Endoscopic inferior turbinate reduction with radiofrequency and septoplasty provides a significant improvement in nasal obstruction symptoms with a low complication rate.