CHRONIC POLYPOID RHINOSINUSITIS NON-SURGICALTREATMENT
Objective. The study was aimed at developing a scheme of conservative treatment of chronic polypoid rhinosinusitis at I—II stages of dispersion and assessing its effectiveness.
Materials and methods. 124 patients with chronic polypoid rhinosinusitis (CPRS) were involved in the study. They were distributed according to the nasal endoscopy and CT data. The group of interest included 45 patients with the 1st and the 2nd stages of the polypoid process. In addition, the patients underwent bacteriological and pathomorphological examinations. The patients with both edema and stroma sclerosis (n=45) were treated conservatively: topical steroids for 1 month in combination with broad-spectrum antibiotics (for those with etiologically significant amount of bacteria) for U days. The patients had been followed up for a month, once per 3 months during the a year and then once per 6 months.
Results. Successful results were obtained in 25 patients (55.6%) during the first 3 months: in sixteen (80%) subjects with the edematous form and in nine (36%) subjects with edema and sclerosis. Pifteen patients (33.3%) did not show any changes, five persons (11.1%) reported deteriorating. All the patients treated successfully (n=25) were followed up: two of them showed polyps growth in the nasal cavity and worsening of the anterior active rhinomanometry data during 4 years of observation. The other patients did not report health deterioration.
Conclusion. The results obtained prove a conservative treatment of the edematous and edematous-fibrous forms of chronic polypoid rhinosinusitis at the I-II stages to be efficient.