上顎洞手術にキチンスポンジ付ガーゼタンポンを用いた臨床経験

概要

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The results of the application of tamponade with chitin sponge coated gauze (chitin) in the operation of maxillary sinus are reported.<BR>Gauze tamponade has so far been used in radical maxillosinusectomy, but may be responsible for some infection and for bleeding and pain upon its extraction.<BR>Recently, the author was presented with tampons with chitin sponge which the Central Research Institute of Unitika has developed with a view to promoting wound healing and easy extractability. In the present study, the tampon, which has already been proved to be clinically useful as adsorbent suture and wound coating protective, was used as a substitute for the conventional gauze tampon in maxillary sinus surgery, the tampon was used in 21 patients clinically diagnosed as postoperative maxillary cyst, dental siagonantritis and the like. Good results were obtained with little pain and bleeding upon extraction, and a high concentration of lisozyme was noted in the chitin sponge following extraction, suggesting induction of lisozyme in the wound area, i.e. an action to promoote wound healing.