원저

구개골 수직판 제거술을 통한 상악동 자연공 확장술

윤주헌1,*, 홍정표1
Joo-Heon Yoon1,*, Jung-Pyoe Hong1
Author Information & Copyright
1연세대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
*교신저자: 윤주헌, 120-140 서울 서대문구 신촌동 134 연세대학교 의과대학 이비인후과학교실 전화: (02) 361-8484· 전송: (02) 393-0580 E-mail: jhyoon@yumc.yonsei.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 12, 1999; Accepted: May 12, 2000

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Since the concept of functional sinus surgery and optical aids such as endoscopes and surgical microscopes have been introduced, more precise excision of pathologic lesions under a clear view has become popular in the treatment of chronic maxillary sinusitis. Although middle meatal antrostomy (MMA) is reported to be more effective than inferior meatal antrostomy, spontaneous closure rate of antrostomy opening is still high. This article aims to introduce our modified method of MMA capable of creating a considerably large antrostomy opening and to report our results for the patency of a surgically created maxillary sinus opening. Patients and Method: A total of 50 procedures were performed in 46 patients with severe maxillary sinusitis. We applied our modified antrostomy technique removing palatine bone for improved patency. Results: Our procedure proved very effective in maintaining the patency of the large antrostomy opening in 100% of cases. During the procedure, arterial bleeding, which was controlled without difficulty by electrocautery, was noted in four cases. Conclusion: Our modified MMA technique can be considered as an effective alternative surgical procedure for maintaining large MMA openings. (J Clinical Otolaryngol 2000;11:73–77)

Keywords: 만성 상악동염; 경중비도 개방술
Keywords: Chronic maxillary sinusitis; Middle meatal antrostomy