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Approach on rehabilitation of patients after functional endonasal surgery of the frontal sinus.

INTRODUCTION
Endonasal surgery of the frontal sinuses is associated with impaired mucosal integrity, the aerodynamics of the nasal cavity, the configuration of intranasal structures. At the stage of early postoperative period, it is important to achieve rapid epithelialization of the mucous membrane, with the restoration of the functioning of the mucociliary transport system, drainage and ventilation of the sinuses, nasal congestion and as a result, early clinical recovery of the patient.


AIM
to prove the clinical efficacy of formulations containing sodium hyaluronate in the postoperative period in patients undergoing endoscopic endonasal surgery of the frontal sinus.


MATERIALS AND METHODS
the study was conducted on 36 patients, including 23 of a test, and 13 - a control group. All patients underwent endonasal surgery of the frontal sinus. Postoperatively, the patients of the main group, in addition to standard therapy, received products based on sodium hyaluronate, control - standard therapy. The study used a medical gel based on sodium hyaluronate Deviskar®.The results of the study were based on rhinoscopic diagnostic, rhinomanometry, subjective methods of patient questionnaires.


CONCLUSIONS
the use of study preparation in complex treatment of patients with chronic sinusitis allows to achieve the best results the restoration of the mucous membrane of the nasal cavity and nasal breathing function, which has been proved for objective and subjective criteria. The study results allow us to recommend the use of sodium hyaluronate intraoperative and postoperative patients who underwent rhinosurgery intervention as an effective anti-inflammatory agent and mucous reducing agent.