幼小児慢性副鼻腔炎の上顎洞穿刺洗條療法

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Maxillary sinus irrigation with a Schmidts maxillary antrum trocar was applied to one hundred and four children with chronic sinusitis between the ages of two and eleven years. They received the treatment 4 to 525 times averaged 88 times during the last seven years. The children suffered from the severer disease than adult patients and they commonly developed another complicated disorder in both/either the ear and/or the lower respiratory tract.Most of children had familial tendencies and their symptoms appeared at the age of two to three years, became the severest between the ages of four and eight and became milder according as the development of the physical strength. The frequent irrigation therapy had a favourable effect to such children. Their symptoms and the course of the disease became better and the duration of the severe stage was also shortened without an administration of any anti biotics except at a time of acute exacerbation. Most of the patients kept the disease in chronic but better condition with aging, and only a few of them were completely cured of.Moreover, the irrigation therapy gave a better result to the patients without familial tendency and dispositions. They all are healed of the disease by the treatments of a few months. They were composed of, in number, about 15 percent of all the patients and were suspected to developed chronic sinusitis owing to the reduction of the systemic and the local resistance to microorganisms followed by other disorders, fatigue and so forth. There were very few cases in whom only adenoid without any other disorders caused chronic sinusitis.Conclusively, the present result indicates that the frequent sinus irrigation is an ideal treatment for children with chronic sinusitis, because they can receive an effective treatment without any disturbance of the sinus development and use of a large dose of antibiotics.
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

幼小児慢性副鼻腔炎の上顎洞穿刺洗條療法

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