副鼻腔に起こるコレステロール析出

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概要

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• In order to study the manifestations and genesis of cholesterol deposits in the paranasal sinus, 379 specimens from 100 operated paranasal sinuses were histologically examined. Two hundred and twelve specimens from 50 paranasal sinuses were obtained from 31 patients who received operations for sinusitis from one to 4 times in past and 167 from 50 were obtained from 27 patients who had no operation. They showed various degrees of inflammation. The specimens were picked up from the maxillary sinus, ethmoid sinus, sphenoid sinus, frontal sinus and supraorbital cell at operation. Although cholesterol deposites were not found in 167 specimens from 27 patients without operation, the lesions were found in 3 from 3 patients with operations. Two were in the maxillary sinus and one in the supraorbital cell. These three sinuses were obstructed at their orifices. These specimens showed very mild inflammation.Since cholesterol deposits in the paranasal sinus appear in the mucous membrane with very mild inflammation of the obstructed sinus, the situation of the deposits seems to be identical with that of the temporal bone. Therefore it can be considered that the genesis of cholesterol deposits in the paranasal sinus and temporal bone might be identical. As the deposits were found only in the operated sinuses, surgery gave access to the situation, i. e., obstructed sinus and weakened inflammation.As the occurrence and the amount of the deposits in the paranasal sinus are much less than those in the temporal bone, the treatment for sinusitis with cholesterol deposits becomes rarely difficult.

• 社団法人 日本耳鼻咽喉科学会の論文

著者

• 仁保 正和

  仁保医院

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• 幼小児慢性副鼻腔炎の上顎洞穿刺洗條療法
• 副鼻腔に起こるコレステロール析出
• 仁保医院

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