Endoscopic laser surgery of the middle meatus for chronic paranasal sinusitis.

概要

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This paper assesses the effectiveness of our laser surgical technique for chronic paranasal sinusitis retrospectively. Forty-one adult patients with chronic paranasal sinusitis and bilateral nasal polyposis underwent laser surgery. After local anesthesia was administered, nasal polyps were resected and the diseased mucous membrane of the middle meatus and middle turbinate were vaporized with a CO2 laser, without opening the paranasal sinuses. Relief or improvement of symptoms was achieved in patients with nasal obstruction (100%), amount of nasal discharge (97.4%), and anosmia (85.8%). The degree of opacity of the maxillary and ethmoid sinuses on x-ray films improved in 95% and 93. 8% of sinuses, respectively. The laser surgical technique that we have developed for chronic paranasal sinusitis is noninvasive and appears to be a good alternative to the Caldwell-Luc operation or endoscopic sinus surgery.
日本鼻科学会の論文