Purpose. Determination of the effectiveness of the treatment of postnasal syndromecaused by vasomotor rhinitis using the method of laser photocoagulation of the distalbranches of the vidian nerve based on subjective criteria.Materials and methods. The work is based on the results of examination and treatment of 89 patients with postnasal syndrome caused by vasomotor rhinitis. The studygroup consisted of 45 patients (22 men and 23 women), these patients, along with laserphotocoagulation of the inferior turbinates, underwent photocoagulation of the distalbranches of the vidian nerve. The comparison group consisted of 44 patients (20 men and24 women) who underwent only laser photocoagulation of the inferior turbinates.The evaluation of the results of surgical treatment of patients with postnasal syndromecaused by vasomotor rhinitis was performed on the basis of objective criteria for the following indicators:• Assessment of the quality of life of patients using the SNOT-22 questionnaire (RUS);• Evaluation of the quality of life of patients using a visual analogue scale (VAS –10-point subjective scale).Results. In the preoperative period, the quality of life of patients was assessed usinga specialized questionnaire SNOT-22 (RUS) and VAS. Based on the data obtained, the effectof vasomotor rhinitis with a postnasal component on the quality of life of patients in the studygroup and the comparison group corresponds to a moderately disturbing scale (the studygroup – 40.6 ± 3.35 points, the comparison group – 42.8 ± 6.5 points, statistically significantthere was no difference between the groups p > 0.05, breathing through the nose and smellbefore surgery in the study group according to VAS – 10.0 [9.0; 10.0] points, in the comparisongroup – 10.0 [9.0; 10.0] points. Complaints about the flow of mucus along the back of the throatin the study group – 9.0 [9.0; 9.0] points, in the comparison group – 9.0 [8.75; 9.0] points),a statistically significant difference between the groups not detected p > 0.05. The useof surgical methods of treatment made it possible to improve the quality of life of patients,a progressive decrease in indicators was noted (1 month after the operation, the respiratoryand olfactory function in patients of the study group was 2.0 [1.0; 2.0] points, in the comparisongroup – 2.0 [2.0;3.0] points Complaints about mucus flow down the posterior pharyngeal wallpatients of the study group – 1.0 [0.0;1.0] points, comparison group – 4.0 [4.0;4.0] points,a statistically significant difference between the groups p < 0.05 was revealed. The qualityof life of patients using a specialized questionnaire SNOT-22 (RUS) 1 month after surgery in the study group – 7.95 ± 1.46 points, in the comparison group – 14.3 ± 2.55 points,a statistically significant difference between the groups was revealed p < 0.05.Conclusions. In the treatment of postnasal syndrome caused by vasomotor rhinitis,the developed method of surgical treatment using laser photocoagulation of the distal branchesof the vidian nerve allowed a statistically significant improvement in the quality of lifeof patients, thereby proving its effectiveness, which is confirmed by the assessment of subjectivecriteria.
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