Background: This study aims to describe clinical characteristics, computerized tomography image of concha bullosa and evaluate the results of surgical patients with concha bullosa. Patients and method: 37 patients with 51 concha bullosa surgeried to partially outside, by the method described cross, from October 2012 to June 2014. Result: Main symptoms of patients with CB is headache (89.2 %) and nasal congestion (67.6 %). In patients with CB often changes the anatomy and pathology with particularly crooked nasal septum (75.7 %). Patients with bilateral CB accounted for 62.2 % of patients had unbiliteral CB is 37.8 %. Location CB: 88.2 % the previous section, the following 2 %, both before and after 9.8 %. Ventilation position of CB: 68.7 % lamellar type, type bulbous 7.8%, and type extensive 23.5 %. The size of CB as assigned Thomas: highest grade 3 (31.1 %) followed by grade 2 (27 %) and grade 4 (6.7 %) was the last grade 1 (4.1%). The size of CB according classified Nadas: highest level 1 (59.5 %), followed by the 0 (31.1 %) and grade 3 (8.1%), and finally grade 4 (1.3 %). Complications of surgery: tear the lining of the septum (18.9 %), multiple intraoperative bleeding (representing 8.1%), mucosal abrasions middle turbinate (accounting for 2.7 %). The incidence of post-operative Art: meche withdrawal bleeding after surgery (13.5 %), bleeding early before 6 hours (5.4 %); Roll stick after surgery (representing 2.7 %), postoperative bleeding before 24 hours. Functional impairment in patients after surgery: After 3 months of headaches decreased 84.8 %, stuffy nose fell 92 %, 90.9 % of reduction talks flow, Itchy nose, sneezing decreased 42.9 %. Middle turbinate endoscopic nasal after surgery: 100 % middle turbinate slim nose. Conclusion: The combined clinical and endoscopic sinus CT will improve the efficiency of diagnosis and treatment concha bullosa. Key words: concha bullosa, deviated nasal septum, rhinosinusal computerized tomographic scanner.
Objective: To evalate the status of the treatment of Ear-Nose-Throat tumor pathology in inpatients at the Department of Otolaryngology, Hue University Hospital. Subjects and Methods: Including 183 patients diagnosed and treated with tumor at the Ear-Nose-Throat region at Department of Otolaryngology, Hue University Hospital. Results: The percentage of female patients infected with tumors was higher than that of men (with 54.1%), but the number of men having cancer was greater than that of women with the ratio of 1.7/1. The most common reason for going to hospital was pain at Ear-Nose-Throat region, hoarseness, nasal sinus symptoms (bleeding nose, stuffy nose, spit blood...), swallowing disorders. There was 84.7% of patients detected disease before 6 months. Benign tumor accounted for 91.3%. Surgery was the main treatment methods. Conclusions: Tumor Pathology at Ear-Nose-Throat region are more and more popular and they tend to rejuvenate. Most of them are benign disease, malignancies occur more frequently in men (ratio 1.7/1). The most popular tumors appear at throat - laryngeal (56.3%), followed by nasal sinus tumors (30.1%). The majority are diagnosed before 6 months. Surgery is the main treatment and have good results. Key words: tumor, Hue University Hospital
Objective: To survey some results of septoplasty and combined cut partially outside concha bullosa. Patients and Method: The study having population of 36 patients who underwent septoplasty and remove concha bullosa and designed as an prospective, descriptive and interventional study. Results: 16-30 age group is mainly (47.2%). The reason most of them are headache (52.8%), and stuffiness (33.3%). Functional symptoms most common were headache (83.3%), followed by stuffiness (77.8%). Majority is malformed septum (80.6%). 42 concha bullosa on 36 patients including 16 patients only is the left concha bullosa, only 14 patients is the right concha bullosa and 6 patients is the both sides concha bullosa. Concha bullosa size of 1 is mainly, the right is 70% and left is 59.1%. There is a relationship between the level stuffiness and type of malformed septum. Concha bullosa greater is the more headache. The average treatment time is 7 days. 30.6% had complications in surgery. 5.6% had complications after surgery. Almost of patients improved symptoms, 97.2% after 3 months had not headache and stuffiness. The proportion of patients with better treatment was 80.6% and it is increase 91.7% after 3 months. Conclusions: Headache and stuffiness are 2 most common symptom in patients who have concha bullossa and malformed septum, this is also the main reason make patients go to hospital. 2 symptoms improved after septum surgery combined cut outside concha bullosa. Key words: malformed septum, concha bullosa, headache, stuffiness
Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy
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