Abstract:
Introduction: The rhinosinusitis is a primordial health issue, which frequency is increasing with
the increase of allergic rhinosinusitis, that leads to major expenses for the whole society. One of the
reasons, why it’s important to pay attention to this disease is represented by the great impact it has toward
the lower airways and the pulmonary parenchyma. Purpose: the target of this article is to introduce in
the journal the new diagnostic and treatment procederes of the chronic rhinosinusitis, analysing the
advantages and disadvantages of every therapeutical procedere from the section of: Functional Surgery,
Phonoaudiology and Otorhinolaryngological Reabilitation.
Materials and methods: The retrospective study of 721 patients, who suffered from chronic
rhinosinusitis (with polyps or without), rebelled to standard drugs therapy, to which the endoscopic
treatment was carried out. The information, on which this research was based, is represented in the
papers of clinical observations of the patients and in the operator’s protocols.
Results: The retrospective study was made in the section of Functional Surgery, Phonoaudiology
and ORL recuperation in the IMSP SCR during the following time: 05.02.2015 - 02.02.2016. There are
721 patients with the diagnostic of chronic rhinosinusitis (with or without polyps), that had had the
surgical rhinosinusal endoscopical intervention. The endoscopic interventions were: endoscopic
polypectomy, maxilar antrostomy right or left, etmoidotomy anterior\right\left\bilateral, the bipolar
cauterisation of the inferor nasal cornets, the ultrasonographic desintegration of the nasal inferior
cornets, partial or total conhtomie with electrocoagulation.
Conclusions: After analysing this study, was determined that cronic rhinosinusistis affects
predominantely the adults, with a peak at 45-54 years, more oftenly among men (57%). The most
frequent surgical rhinosinusal endoscopic intervention made in the section of Functional Surgery,
Phonoaudiology and ORL recuperation in the IMSP SCR is the endoscopic polypectomy, reaching in
2014 (38.4%) and in 2015 (49.51%) form the total number of endoscopical interventions.
Description:
Department of Otorhinolaryngology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016