STUDY OF DIFFERENTIATED TREATMENT TACTICS AND ASSESSMENT OF QUALITY OF LIFE OF PATIENTS WITH POLYPOUS RHINOSINUSITIS

Abstract

Polypous rhinosinusitis is a chronic inflammatory disease of the nasal cavity and paranasal sinuses characterized by the formation of nasal polyps, persistent nasal obstruction, rhinorrhea, anosmia, and recurrent inflammation. The disease significantly affects patients’ quality of life, sleep quality, working capacity, and psychosocial functioning. Modern approaches to treatment emphasize differentiated therapeutic tactics based on disease severity, endoscopic findings, radiological characteristics, and associated comorbidities such as bronchial asthma and allergic rhinitis. The present article analyzes modern therapeutic strategies for patients with polypous rhinosinusitis and evaluates the influence of different treatment methods on patients’ quality of life. Conservative treatment methods including intranasal corticosteroids, systemic corticosteroids, saline irrigation, antibiotics, and biological therapy are discussed together with surgical management using functional endoscopic sinus surgery (FESS). The study demonstrates that a differentiated treatment approach improves clinical outcomes, decreases recurrence rates, and significantly enhances patient quality of life indicators. The article also highlights the importance of individualized patient assessment and long-term follow-up in achieving optimal therapeutic effectiveness.