慢性副鼻腔炎根治術施行症例の臨床統計

概要

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We have investigated 147 cases of surgical treatments for chronic sinusitis from 1983 to 1988, based on the medical charts in our ENT clinic. We investigated the age, sex, clinical history, chief complaint, intranasal findings, preoperative progress, X-ray findings, contents of surgical treatments, operative findings and postoperative progress.<BR>The male-female ratio was three to one. The most prevalent chief complaint was nasal obstruction and then nasal discharge and post nasal droppings. Polyps were seen in 77%and ratio of bilateral chronic sinusitis was higher than on unilateral chronic sinusitis by the rate of the growth of polyps. As to the preoperative process, cases judged for an adaptation of the operation were 88% by the first medical examination of our clinic. According to Xray finding,26% were cases of unilateral chronic sinusitis,23% had a difference between right maxillary sinus and left maxillary sinus, and 41% had no difference between right maxillary sinus and left maxillary sinus. Operations under local anesthesia were accounted for 92%, operations of ethmoidal sinus were performed in 94% and operations of counter opening were performed in 79%. During 6 months, recurrent sinusitis was found in operated patients who were discharged, so we must observe postoperative patients for at least 6 months.
耳鼻咽喉科臨床学会の論文