小児の鼻アレルギーにおける鼻閉の手術治療について

概要

論文の詳細を見る
Most children with allergic rhinitis have nasal obstruction all year round. In Chiba Children's Hospital we performed surgical treatments on children whose nasal obstruction was not improved by medication, hyposensitization and so on. In the last 3 years,25 children underwent operations such as turbinotomy, submucous turbinotomy and submucous resection of the nasal septum. There were 15 boys and 10 girls aged 6 to 15 years. We followed them for 6 months to 3 years postoperativety. Questionnaires were sent out to assess the effectiveness of surgery and 20 children responded. The following results were obtained: 1. The nasal obstruction improved remarkably after surgery. 2. Symproms such as nasal discharge, snore, sneeze, nasal voice and minor disturbances decreased after the operation. Children seldom had heavy sensations in the head or dyspnea on exertion, as they had often had before the operation. Significant improvements were observed in the ability to concentrate. Thus their daily lives had become comfortable. 3. Besides rhinitis,20 of 25 children had other allergic diseases such as atopic dermatitis and bronchial asthma. Though 7 children had bronchial asthma,5 of them seldom had asthma attacks after the operation. 4. Our study shows that surgical treatment for nasal obstruction in pediatric allergic rhinitis is an effective therapy, when symptoms are not responsive to nonoperative treatments.