THE CORRELATION BETWEEN CLINICAL AND PARACLINICAL CHARACTERISTICS AND POLYP TISSUE EOSINOPHIL INDEX IN PATIENTS WITH CHRONIC RHINOSINUSITIS WITH NASAL POLYPS
Main Article Content
Abstract
Objectives: To analyze the correlation between clinical, paraclinical characteristics of chronic rhinosinusitis with nasal polyps (CRSwNP) and the eosinophil index in polyp tissue. Methods: A cross-sectional descriptive study was conducted on 51 patients diagnosed with CRSwNP who were treated at the Department of Otorhinolaryngology, Military Hospital 103, from March 2024 to May 2025. Results: The group with elevated eosinophils in polyp tissue showed a predominance of the following symptoms and signs: Mucopurulent nasal discharge (40.0%), thick purulent discharge (52.0%), severe nasal obstruction (96.0%), severe olfactory dysfunction (12.0%), severe sinus pain (44.0%), thick purulent discharge (80.0%), severe mucosal edema (20.0%), and bilateral nasal polyps (96.0%), all higher than those in the non-eosinophilic group, with statistically significant differences (p < 0.05). On CT scan, the Lund-Mackay score in the eosinophilic group was 6.39 ± 1.73, higher than that in the non-eosinophilic group (4.02 ± 0.9), with a statistically significant difference (p < 0.05). Conclusion: The eosinophilic group in polyp tissue predominates in patients with mainly severe subjective symptoms, more extensive and severe lesions compared to the non-eosinophilic group.
Keywords
Increased tissue eosinophilia, Chronic rhinosinusitis, Nasal polyp
Article Details
References
2. Snidvongs K, Lam M, Sacks R, et al. Structured histopathology profiling of chronic rhinosinusitis in routine practice. Int Forum Allergy Rhinol. 2012; 2(5):376-385.
3. Fokkens WJ, Lund VJ, Hopkins C, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020 Feb; 58(Suppl S29): 1-464.
4. Nguyễn Nam Hà. Nghiên cứu các kiểu hình tế bào viêm và biểu hiện của gen FOXP3 và hGRα trong bệnh polyp mũi. Luận án Tiến sỹ Y học, Đại học Y dược Thành phố Hồ Chí Minh. 2018.
5. Bùi Minh Châu, Trần Thị Thu Hằng. Đặc điểm lâm sàng, cắt lớp vi tính của viêm mũi xoang mạn tính có polyp mũi và đối chiếu với phân loại mô bệnh polyp mũi theo EPOS 2020. Tạp chí Y học Việt Nam. 2023; 532(1B).
6. Lund VJ, Kenedy DW. Staging for rhinosiusitis. Otolaryngology - Head and Neck Surgery. September 1997.
7. Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology. 1993; 31(4): 183-184.
8. Nakayama T, Yoshikawa M, Asaka D, et al. Mucosal eosinophilia and recurrence of nasal polyps - new classification of chronic rhinosinusitis. Rhinology. 2011; 49(4):392-396.
9. Nguyễn Thị Huyền, Quản Thành Nam, Lê Thị Tuyết Ngân và CS. Mô tả triệu chứng lâm sàng, hình ảnh cắt lớp vi tính và mô bệnh của viêm mũi xoang mạn tính. Tạp chí Y Dược học Quân sự. 2022; 9.
10. Lou H, Meng Y, Piao Y, et al. Predictive significance of radiological indicators in BCATic chronic rhinosinusitis with nasal polyps. Int Forum Allergy Rhinol. 2020; 10(6):799-805.