COMPREHENSIVE APPROACH TO SURGICAL TREATMENT OF NASAL CEREBROSPINAL FLUID AND ASSOCIATED HEALTH CONDITIONS OF THE NASAL CAVITY AND PARANASAL SINUSES
Topicality. To date, the development of rhinology, introduction into clinical practice of new high-tech, modern diagnostic and treatment equipment, improvement endovideoskopii and microsurgery has resulted in a significant improvement in the quality of care of patients with nasal liquorrhea. Priority in scientific research is, above all, improving the efficiency of diagnosis, treatment, risk of complications, length of hospitalization and rehabilitation, as well as improving the quality of life in the immediate postoperative period. THE AIM. Improving the efficiency and quality of care of patients with nasal liquorrhea with comorbidities of the nasal cavity and paranasal sinuses. MATERIALS AND METHODS. The results of the clinical examination and surgical treatment of 70 patients with nasal liquorrhea. In all cases, patients underwent endoscopic transnasal fistuloplastika access. Were developed indications and contraindications for this type of intervention. a comparison group comprised 33 patients who had perioperative treatment of nasal liquorrhea and concomitant chronic diseases of the nasal cavity and paranasal sinuses. the rest of the 37 patients in the control group , was performed only endoscopic transnasal fistuloplastika . Recurrence was observed in nasal liquorrhea 5 (6.3 %) cases, the total number of patients, but repeated surgery to be performed only in two patients , one control group and one control group. Therefore, differences in postoperative liquorrhea data are unreliable. Results. Comparative analysis of conventional endoscopic endonasal plastics CSF fistula and the proposed method of perioperative treatment of the nasal cavity and paranasal sinuses together with fistuloplastikoy showed clear statistically significant benefits of the combined method (all clinical parameters in the postoperative period , and in the distant periods , asymmetry of nasal resistance , total fertility rates of nasal resistance , the total volumetric flow). Conclusion. Studies have shown that the use of methods of perioperative benefits for surgical treatment of nasal liquorrhea and pathology of the nasal cavity to accelerate recovery and improve the quality of life of patients in the late postoperative period. Application of this method has allowed in all cases to normalize the anatomy of the nasal cavity in patients with nasal liquorrhea that is not enough importance to the quality of life of patients and a quick recovery of the respiratory function of the nose in the postoperative period. When using the developed technique of perioperative management of patients with nasal liquorrhea and pathology of the nasal cavity and paranasal sinuses required to perform a set of measures on the preoperative, intraoperative and postoperative phases.