慢性副鼻腔炎根本手術における下鼻道対孔造設の検討

概要

論文の詳細を見る
A surgical procedure for chronic sinusitis has been established by Caldwell-Luc and Watsuji-Denker. However, the value of establishing a counter opening into the inferior meatus has been questioned mainly due to its effects on the postoperative healing process. Therefore, we compared the operation time, blood loss, postoperative cheek swelling and postoperative healing process on the same patient, with (left side)and without (right side) a counter opening. Forty patients who had radical treatment of chronic sinusitis on both sides were studied.<BR>Without the counter opening procedure the operation time was about 10 min. shorter and the blood loss was about 60 g less than that with the opening procedure. However, cheek swelling without the opening was slightly more than that on the other side. Obstructive healing of the maxillary sinus without it was about one month earlier than that with it.<BR>In summary, creati on of the counter opening may aggravate the early postoperative condition.
耳鼻咽喉科臨床学会の論文