Estimación de la recidiva a 5 años en polipos nasales sometidos a cirugía funcional endoscopica
Fecha
2022
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: La cirugía funcional endoscópica es el tratamiento quirúrgico para pacientes con patología de pólipos nasales cuando el tratamiento médico ha fallado, sin embargo, una de las principales complicaciones es la recidiva de los pólipos la cual difiere según el tipo de pólipo y la localización. Objetivos: Establecer la recidiva a 5 años de los pacientes con pólipos nasales que fueron tratados con cirugía funcional endoscópica en el Hospital de Especialidades Teodoro Maldonado Carbo, período 2015-2020. Metodología: Se efectuará un estudio observacional, descriptivo, retrospectivo en el que se incluirán de manera aleatoria 112 pacientes atendidos entre el 1 de enero de 2015 a 31 de diciembre de 2020. Para la comparación de las características de los grupos que recidivaron y aquellos que no se utilizará la prueba de chi-cuadrado de homogeneidad. Se considerarán significativos valores de P < 0,05. Resultados: El promedio de edad de los pacientes fue de 54 años, con un límite inferior de 23 años y un límite superior de 63 años. El 55,0% de las 112 historias clínicas analizadas corresponde a poliposis moderada según clasificación Lindholdt con un 87,5% de tipo 1 (poliposis aislada). Se identificó que el 46,34% de los pacientes presentó recidiva con un tiempo de recurrencia menor a seis meses con el 44,44%. La principal complicación identificada en este estudio fue el sangrado, únicamente en dos pacientes. Conclusiones: Se identificó un aumento de la recidiva de los pólipos nasales posterior a la cirugía endoscópica nasosinusal, a corto plazo, principalmente en un periodo menor a seis meses.
Background: Functional endoscopic surgery is the surgical treatment for patients with nasal polyps when medical treatment has failed, however, one of the main complications is recurrence of polyps, which differs according to the type of polyp and its location. Objectives: To establish the 5-year recurrence of patients with nasal polyps who were treated with functional endoscopic surgery at the Teodoro Maldonado Carbo Specialty Hospital, 2015-2020 period. Methodology: An observational, descriptive, retrospective study will be carried out in which 112 patients treated between January 1, 2015 and December 31, 2020 will be randomly maintained. For the comparison of the characteristics of the groups that relapsed and those that the chi-square test for homogeneity was not strengthened. Significant values of P < 0.05 will be considered. Results: The average age of the patients was 54 years, with a lower limit of 23 years and an upper limit of 63 years. 55.0% of the 112 medical records analyzed correspond to moderate polyposis according to the Lindholdt classification, with 87.5% type 1 (isolated polyposis). It was identified that 46.34% of the patients presented recurrence with a recurrence time of less than six months with 44.44%. The main complication identified in this study was bleeding, only in two patients. Conclusions: An increase in the recurrence of nasal polyps was identified after endoscopic sinus surgery, in the short term, mainly in a period of less than six months.
Background: Functional endoscopic surgery is the surgical treatment for patients with nasal polyps when medical treatment has failed, however, one of the main complications is recurrence of polyps, which differs according to the type of polyp and its location. Objectives: To establish the 5-year recurrence of patients with nasal polyps who were treated with functional endoscopic surgery at the Teodoro Maldonado Carbo Specialty Hospital, 2015-2020 period. Methodology: An observational, descriptive, retrospective study will be carried out in which 112 patients treated between January 1, 2015 and December 31, 2020 will be randomly maintained. For the comparison of the characteristics of the groups that relapsed and those that the chi-square test for homogeneity was not strengthened. Significant values of P < 0.05 will be considered. Results: The average age of the patients was 54 years, with a lower limit of 23 years and an upper limit of 63 years. 55.0% of the 112 medical records analyzed correspond to moderate polyposis according to the Lindholdt classification, with 87.5% type 1 (isolated polyposis). It was identified that 46.34% of the patients presented recurrence with a recurrence time of less than six months with 44.44%. The main complication identified in this study was bleeding, only in two patients. Conclusions: An increase in the recurrence of nasal polyps was identified after endoscopic sinus surgery, in the short term, mainly in a period of less than six months.
Descripción
PDF
Palabras clave
Endoscopía , Pólipos Nasales , Estudio retrospectivos, Hospital de Especialidades Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador