Otolaryngological and immunological features of the chronic purulent maxillary sinusitis in patients with type 1 diabetes mellitus
This work aims to study the otolaryngological and immunological features of the course of chronic purulent maxillary sinusitis in patients with type 1 diabetes mellitus. We examined 74 patients aged 15 to 40 years. In 44 of them, ChPMS has been diagnosed with type 1 DM of moderate severity at the stage of exacerbation. In 20 – exacerbation of CPMS without concomitant pathology, 10 – healthy donors. All patients underwent standard otorhinolaryngological examination, endovideorhinoscopy, X-ray and computed tomography of the paranasal sinuses, general blood test, urine, blood sugar analysis and immunological examination. The obtained digital results of otolaryngological and immunological studies were processed by variational statistics methods. As a result of the conducted studies, it was established that the course of ChPMS in patients with T1DM is characterized mainly by the bilateral lesion (77.3%), the intensity of clinical manifestations, subfebrile condition (43.2%), pronounced nasal obstruction (90.9%), mucopurulent nature of the exudate (79.5%), a sharp increase in the number of leukocytes and ESR (22–35 mm/h) in 95.4% and complications in 23% of cases.