慢性副鼻腔炎における蝶形骨洞粘膜の病理組織学的所見及び他洞との比較

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In 53 cases of chronic sinusitis, the mucous mombrane of the sphenoidal, ethmoidal and maxillary sinuses were histologically studied. The findings of these sinuses were compared each othey to find the histologic characteristics of the mucous membrane in the chronic sphenoidal sinusitis.The histologic changes of the mucous membrane of thesese sinuses were classified into the following groups:The maxillary sinus The minimal type 4 cases 7.5% The fibrous type 3 cases 5.6% The fibrous-infiltrative type 15 casas 28.3% The infiltrative type 10 cases 18.9% The edematous type 2 cases 3.8% The edematous-infiltrative type 19 cases 35.9%The ethmoidal sinus The minimal type 14 cases 26.4% The fibrous type 4 cases 7.5% The fibrous-infiltrative type 9 cases 17.0% The infiltrative type 2 cases 3.8% The edematous type 8 cases 15.1%The sphenoidal sinus The minimal type 14 cases 26.4% The fibrous type 9 cases 17.0% The fibrous-infiltrative type 17 cases 32.1% The infiltrative type 2 cases 3.8% The edematous type 3 cases 5.6% The edematous-infiltrotive type 8 cases 15.1%From these results the author concluded that in chronic sphenoidal sinusitis, the fibrous type or fibrous-infiltrative type were more frequently seen than in the other two sinuses.It might be said that the mucous membrane of the sphenoidal sinus shows more fibrotic reaction than the other two sinuses in the chronic sinusitis.
社団法人日本耳鼻咽喉科学会の論文